KIM JACKSON

SAN BERNARDINO, CA
NPI1902257389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
175T00000X Peer Specialist
Enumeration Date2016-06-27
Last Update Date2023-11-30
Business Address
KIM JACKSON
1481 WINDSOR DR
SAN BERNARDINO, CA 92404-5416
Phone number: 951-643-2340
Mailing Address
KIM JACKSON
3125 MYERS ST
RIVERSIDE, CA 92503-5527
Phone number: 951-358-5862