Fateen Lateef Jackson I
Fateen Lateef Jackson I is a Community Health Worker in Fairfield, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2101 Courage DrFairfield, CA 94533-6717
Phone: (707) 646-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1730901836 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 29, 2024 |
| Last updated in NPPES | October 29, 2024 |
| Certification date | October 29, 2024 |
| Mailing address | 2101 Courage Dr, Fairfield, CA 94533-6717 |
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