Search › California › 101YA0400X
Floyd Jackson
NPI 1639480619 · on the registry since 2010
Practice
- Address
- 171 Carlos Dr
San Rafael, CA 94903 - Phone
- (415) 755-2310
- Fax
- (415) 755-2210
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-24
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