DESHA OWANNA JACKSON

LOS ANGELES, CA
NPI1881989796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  258755)
Enumeration Date2011-06-20
Last Update Date2015-12-27
Business Address
-- DESHA OWANNA JACKSON CMA, LVN
1520 W 68TH ST
LOS ANGELES, CA 90047-2021
Phone number: 323-497-9583
Mailing Address
-- DESHA OWANNA JACKSON CMA, LVN
309 E HILLCREST BLVD STE 519
INGLEWOOD, CA 90301-2405
Phone number: 323-531-4261
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