Search › California › 374U00000X
Dolores Jackson
NPI 1366750242 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1445 E. Tam O'Shanter Street
Ontario, CA 91761 - Phone
- (951) 205-2789
- Fax
- (909) 673-0409
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 253Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-09-14
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