Search › California › 101YS0200X
Jackie Land
NPI 1194578161 · on the registry since 2024 · sole proprietor
Practice
- Address
- 30800 Palo Alto Dr
Redlands, CA 92373 - Phone
- (909) 794-8620
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-09
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