Jackson Antoine
Jackson Antoine is a Case Manager/Care Coordinator in Culver City, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
6666 Green Valley CirCulver City, CA 90230-7068
Phone: (954) 860-0373
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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 | 1750959623 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 16, 2021 |
| Last updated in NPPES | June 16, 2021 |
| Certification date | June 16, 2021 |
| Mailing address | 6666 Green Valley Cir, Culver City, CA 90230-7068 |
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