Search › California › 106H00000X
Davetta Jackson-Young
NPI 1023426228 · on the registry since 2014 · sole proprietor
Practice
- Address
- 8863 Santa Maria Way
Stockton, CA 95210 - Phone
- (678) 704-5213
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-31
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