Jackson, Carrie

Jackson, Carrie is an individual health care provider with primary practice located at 1370 Valley Vista Dr Ste 200 , Diamond Bar CA 91765-3921. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Jackson, Carrie can be contacted via phone (840) 236-0671.

Contact Information

Primary practice address
1370 Valley Vista Dr Ste 200 Diamond Bar CA 91765-3921
Phone: (840) 236-0671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X CPT00064512 California

Profile Details

NPI number 1417727595
LBN Legal business name Jackson, Carrie
Credentials CA-CPT1
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2024
Last updated May 10th, 2024 - about 7 months 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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