Jackson, De'Bora

Jackson, De'Bora is an individual health care provider with primary practice located at 19531 Mclane St Suite A Mfi Recovery, Palms Spring CA 92262. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Jackson, De'Bora can be contacted via phone (760) 251-2346.

Contact Information

Primary practice address
19531 Mclane St Suite A Mfi Recovery Palms Spring CA 92262
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X California

Profile Details

NPI number 1790478584
LBN Legal business name Jackson, De'Bora
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2023
Last updated Oct 30th, 2023 - about 2 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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