Jackson, Andrea Irene

Jackson, Andrea Irene is an individual health care provider with primary practice located at 921 E Compton Blvd , Compton CA 90221-3303. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jackson, Andrea Irene can be contacted via phone (310) 668-6953.

Contact Information

Primary practice address
921 E Compton Blvd Compton CA 90221-3303
Phone: (310) 668-6953
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1992987309
LBN Legal business name Jackson, Andrea Irene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Aug 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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