SHANELLE JACKSON

LOS ANGELES, CA
NPI1962295949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4351055023)
Enumeration Date2025-05-23
Last Update Date2026-04-20
Business Address
SHANELLE JACKSON MD
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 323-563-4800
Mailing Address
SHANELLE JACKSON MD
1731 E 120TH ST
LOS ANGELES, CA 90059-3051
Phone number: 323-563-4800
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