Search › California › 164X00000X

Eyvonne Jacskon, LVN

NPI 1235536483 · on the registry since 2014 · sole proprietor

Practice

Address
507 Ellis St
Lake Elsinore, CA 92530
Phone
(951) 491-4907

Registry record

Primary taxonomy
164X00000X
164X00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-03

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