Charlene Marie Jackson
Charlene Marie Jackson is a Technician in Modesto, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
800 Scenic DrModesto, CA 95350-6131
Phone: (209) 525-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician (primary) | Taxonomy 374700000X |
|---|
Record details
| NPI number | 1245419472 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 24, 2007 |
| Last updated in NPPES | November 6, 2012 |
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