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Jessica Jackson, RRT
NPI 1316281504 · on the registry since 2012
Practice
- Address
- 1700 Mchenry Ave
Suite 60b
Modesto, CA 95350 - Phone
- (209) 548-7865
- Organisation at this address
- Stanislaus County
Phillip Ha Dental Corporation
Longs Drug Stores California Llc
Stanislaus Vision Associates Optometric Group IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 227900000X
227900000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-12
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