Jackson, Angelique Allyssa

Jackson, Angelique Allyssa is an individual health care provider with primary practice located at 2122 S El Camino Real Ste 201 , Oceanside CA 92054-6210. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Jackson, Angelique Allyssa can be contacted via phone (760) 290-8170.

Contact Information

Primary practice address
2122 S El Camino Real Ste 201 Oceanside CA 92054-6210
Phone: (760) 290-8170
Fax: (760) 439-0019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1104577147
LBN Legal business name Jackson, Angelique Allyssa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2022
Last updated Jan 11th, 2022 - about 3 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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