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Anthony Jackson

NPI 1245307073 · on the registry since 2006 · sole proprietor

Practice

Address
2237 River Plaza Dr
Sacramento, CA 95833
Phone
(916) 391-4293
Fax
(916) 391-4247

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California