Land, Jackie

Land, Jackie is an sole proprietor health care provider with primary practice located at 30800 Palo Alto Dr , Redlands CA 92373-7488. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Land, Jackie can be contacted via phone (909) 794-8620.

Contact Information

Primary practice address
30800 Palo Alto Dr Redlands CA 92373-7488
Phone: (909) 794-8620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X California

Profile Details

NPI number 1194578161
LBN Legal business name Land, Jackie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2024
Last updated Apr 9th, 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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