MICHAEL DEANGELO JACKSON

CHULA VISTA, CA
NPI1821879958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95027684)
Enumeration Date2023-10-13
Last Update Date2026-09-28
Business Address
MICHAEL DEANGELO JACKSON Nurse Practitioner
1061 TIERRA DEL REY STE 200
CHULA VISTA, CA 91910-7881
Phone number: 855-501-1004
Mailing Address
MICHAEL DEANGELO JACKSON Nurse Practitioner
3835 N FREEWAY BLVD STE 100
SACRAMENTO, CA 95834-1954
Phone number:
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