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Ivette Syra Jackson
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NPI Number Detailed Information
Provider Information:
| Name: | Ivette Syra Jackson |
| Gender: | F |
| Provider License Number If Given: | 95007329 |
NPI Information:
| NPI: | 1699036756 |
| Entity Type(Individual or Organization): | 1-ind |
| Enumeration Date: | 6/6/2012 |
| Last Update Date: | 9/24/2020 |
Provider Business Mailing Address:
| Address: | 4140 W 190TH ST Torrance, CA 90504 |
| Phone Number: | 3104234451 |
| Fax Number: | 3104232114 |
Provider Business Practice Location Address:
| Address: | 8700 BEVERLY BLVD # 4311 West Hollywood, CA 90048 |
| Phone Number: | 3104234451 |
| Fax Number: | 3104232114 |
Provider Taxonomy:
| Primary: | 363LN0005X |
| Secondary (if any): | 363LN0005X |
| State: | CA |
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About Ivette Syra Jackson
Ivette Syra Jackson ( IVETTE SYRA JACKSON ) is Definition Nurse Practitioner Physician in West Hollywood, CA.
The NPI Number for Ivette Syra Jackson is 1699036756.
The current location address for Ivette Syra Jackson is 8700 BEVERLY BLVD # 4311 West Hollywood, CA 90048 and the contact number is 3104234451 and fax number is 3104232114.
The mailing address for Ivette Syra Jackson is 4140 W 190TH ST Torrance, CA 90504- 3104234451 (mailing address contact number - 3104234451).
Definition to come...
Provider Business Location on Map
FAQs:
What is the NPI Number for Ivette Syra Jackson ?
Answer: The NPI Number for Ivette Syra Jackson is 1699036756
Where is Ivette Syra Jackson located?
Answer: Ivette Syra Jackson is located at 8700 BEVERLY BLVD # 4311 West Hollywood, CA 90048.
What is the specialty for Ivette Syra Jackson ?
Answer: The Specialty of Ivette Syra Jackson is Definition Nurse Practitioner Physician.
Are there any online reviews for Ivette Syra Jackson ?
Answer: Not yet!
Are there any other health care providers in West Hollywood, CA?
Answer: Yes, there are given below...
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Ivette Syra Jackson in Other Directories
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