Search › California › 101YA0400X
Selena Jackson, BREININGINSTITUTE
NPI 1386810208 · on the registry since 2008 · sole proprietor
Practice
- Address
- 390 N Forbes St
Lakeport, CA 95453 - Phone
- (707) 994-5486
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
171M00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-05-02
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