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La Doris Jackson
NPI 1013573757 · on the registry since 2019
Practice
- Address
- 4211 Avalon Blvd
Los Angeles, CA 90011 - Phone
- (323) 233-0425
- Fax
- (323) 232-2366
- Organisation at this address
- Prime Pharmacy Services Inc
Kedren Community Care Clinic - B
Kedren Acute Psychiatric Hospital
Kedren Integrated Care System, Inc.
Kedren Community Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 351
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California