Search › California › 172V00000X
Ell Jackson
NPI 1457895286 · on the registry since 2016 · sole proprietor
Practice
- Address
- 561 Shotwell St Apt B
San Francisco, CA 94110 - Phone
- (415) 252-1853
- Fax
- (415) 252-1851
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Male
- Record last updated
- 2016-12-13
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