Antoinette D Jackson
Antoinette D Jackson is a Case Manager/Care Coordinator in Barstow, California. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
222 E Main St Ste 117Barstow, CA 92311-2365
Phone: (760) 255-1496
Fax: (760) 255-2542
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1871840280 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 6, 2012 |
| Last updated in NPPES | November 20, 2020 |
| Certification date | November 20, 2020 |
| Mailing address | 222 E Main St Ste 117, Barstow, CA 92311-2365 |
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