Jackson, Melody Lyn
Jackson, Melody Lyn is an sole proprietor health care provider with primary practice located at 630 Broadview St , Spring Valley CA 91977-5522. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jackson, Melody Lyn can be contacted via phone (619) 246-3491.Contact Information
Primary practice address
630 Broadview St
Spring Valley CA 91977-5522
Phone: (619) 246-3491
Fax: (619) 434-6288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1861605339 |
|---|---|
| LBN Legal business name | Jackson, Melody Lyn |
| Credentials | RDHAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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