THOMAS D JACKSON

SAN DIEGO, CA
NPI1942326103
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  NA1690)
Enumeration Date2007-03-21
Last Update Date2008-09-15
Business Address
THOMAS D JACKSON CRNA
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
Mailing Address
THOMAS D JACKSON CRNA
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000