Search › California › 1710I1002X
Brandon Jackson, IDC
NPI 1881030310 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6810 Camphor Ln
San Diego, CA 92139 - Phone
- (619) 846-3392
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2013-05-10
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