Erica R Jackson
Erica R Jackson is an Attendant Care Provider in Garden Grove, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
11355 Desmond StGarden Grove, CA 92841
Phone: (228) 357-0974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1174179980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 16, 2019 |
| Last updated in NPPES | August 16, 2019 |
| Mailing address | 11355 Desmond St, Garden Grove, CA 92841 |
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