Danielle Jackson

NPI 1316122310 · on the registry since 2008

Practice

Address: 762 Cypress St
San Dimas, CA 91773
Phone: (909) 599-1227
Organisation at this address: Mckinley Children'S Center, Inc.
Mckinley Children'S Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 165

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-01-08

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