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Chanell Jackson
NPI 1780101584 · on the registry since 2017
Practice
- Address
- 4141 Palm Ave Apt 490
Sacramento, CA 95842 - Phone
- (916) 582-9600
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2017-08-23
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