Search › California › 101Y00000X
Wanda Jackson
NPI 1497287338 · on the registry since 2017
Practice
- Address
- 1069 Broadway Ave Ste 201
Seaside, CA 93955 - Phone
- (831) 392-1500
- Organisation at this address
- The Village Project, Incorporated
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Female
- Record last updated
- 2017-03-30
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