SearchCalifornia251G00000X

Monica Jackson, ADMINISTRATOR

NPI 1033834593 · on the registry since 2022 · sole proprietor

Practice

Address
6222 W Avenue J9
Lancaster, CA 93536
Phone
(661) 609-7719
Organisation at this address
B&M Support And Care Home Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
251G00000X
251G00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-06

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