DARVALE LAVON JACKSON

OAKLAND, CA
NPI1982722419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2007-03-26
Last Update Date2023-11-09
Business Address
Mr. DARVALE LAVON JACKSON
3695 HIGH ST
OAKLAND, CA 94619-2105
Phone number: 510-434-7990
Mailing Address
Mr. DARVALE LAVON JACKSON
1429 WOODSIDE DR
MODESTO, CA 95355-1724
Phone number: 408-832-5185
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