KENT R JACKSON

HARBOR CITY, CA
NPI1871660613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: CA  A78820)
Enumeration Date2006-11-29
Last Update Date2021-11-30
Business Address
KENT R JACKSON MD
25825 VERMONT AVE
HARBOR CITY, CA 90710-3518
Phone number: 310-325-5111
Mailing Address
KENT R JACKSON MD
25825 VERMONT AVE
HARBOR CITY, CA 90710-3518
Phone number: 310-325-5111