Tramaine Jackson

NPI 1386181402 · on the registry since 2017

Practice

Address: 2523 El Portal Dr
Suite 201
San Pablo, CA 94806
Phone: (510) 418-7349
Fax: (510) 439-3129
Organisation at this address: Contra Costa County
Contra Costa Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 57

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-04-07

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