SearchCalifornia374J00000X

Trinity Jackson

NPI 1245124742 · on the registry since 2025 · sole proprietor

Practice

Address
419 S 20th St
Richmond, CA 94804
Phone
(510) 803-9876

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-07

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