Search › California › 106S00000X
Leequan Jackson
NPI 1851012140 · on the registry since 2022 · sole proprietor
Practice
- Address
- 22763 Dept La
Pasadena, CA 91185 - Phone
- (866) 523-4268
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Male
- Record last updated
- 2022-09-06
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