Search › California › 164X00000X
Portia Jackson, LVN
NPI 1619496049 · on the registry since 2017
Practice
- Address
- 1022 Sunbrook Dr.
San Bernardino, CA 92407 - Phone
- (310) 766-1838
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-09-18
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