CHRISTIAN DEANTHONY JACKSON

LONG BEACH, CA
NPI1902492754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225800000X Recreation Therapist
(Licence: CA  83338)
Enumeration Date2020-12-16
Last Update Date2020-12-16
Business Address
CHRISTIAN DEANTHONY JACKSON CTRS
330 GOLDEN SHR STE 250
LONG BEACH, CA 90802-4270
Phone number: 562-247-0713
Mailing Address
CHRISTIAN DEANTHONY JACKSON CTRS
818 W 106TH ST
LOS ANGELES, CA 90044-4438
Phone number: 323-867-3923
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