Eddie Lacell Jackson
Eddie Lacell Jackson is a Case Manager/Care Coordinator in Stockton, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1212 N California StStockton, CA 95202-1552
Phone: (209) 468-8660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1508988973 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 4, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 2226 Autumn Oak Pl, Stockton, CA 95209-4228 |
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