Mylisa Jackson
Mylisa Jackson is a Case Manager/Care Coordinator in Lompoc, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
401 E Cypress AveLompoc, CA 93436-6806
Phone: (805) 865-1940
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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 (CA) |
|---|
Record details
| NPI number | 1205466869 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 23, 2020 |
| Last updated in NPPES | January 23, 2020 |
| Certification date | January 23, 2020 |
| Mailing address | 401 E Cypress Ave, Lompoc, CA 93436-6806 |
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