LEE ALVIN JACKSON

HAWTHORNE, CA
NPI1821174392
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2006-10-27
Last Update Date2025-05-15
Business Address
MR. LEE ALVIN JACKSON
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3315
Phone number: 310-970-5000
Mailing Address
MR. LEE ALVIN JACKSON
2311 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250-3315
Phone number: 323-241-6730