Search › California › 176B00000X

Mary Jackson, RN, LM

NPI 1467683425 · on the registry since 2009 · sole proprietor

Practice

Address
947 Casitas Vista Rd
Ventura, CA 93001
Phone
(805) 649-3063
Fax
(805) 649-5418

Registry record

Primary taxonomy
176B00000X
176B00000X
Also registered as
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-08-06

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