Jackson, Darvale Lavon
Jackson, Darvale Lavon is an individual health care provider with primary practice located at 3695 High St , Oakland CA 94619-2105. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Jackson, Darvale Lavon can be contacted via phone (510) 434-7990.Contact Information
Primary practice address
3695 High St
Oakland CA 94619-2105
Phone: (510) 434-7990
Fax: (510) 434-7991
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | California |
Profile Details
NPI number | 1982722419 |
---|---|
LBN Legal business name | Jackson, Darvale Lavon |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 26th, 2007 |
Last updated | Nov 9th, 2023 - about last year |
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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