Kim Jackson-Hodge, RPH

NPI 1518446244 · on the registry since 2018 · sole proprietor

Practice

Address: 350 Walters Rd
Suisun City, CA 94585
Phone: (707) 639-4982
Fax: (707) 639-4983
Organisation at this address: Walmart Inc.
Wal-Mart Stores Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-08-13

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