Violette A Jackson is a Clinical in Poway, California. Violette A Jackson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Violette A Jackson is 1275640195. The last update date is 2011-10-11.
Violette A Jackson's current location address is 15525 Pomerado Rd Ste E4, Poway, California. You can contact this provider via phone number 8586745958 and fax number 8584511104. The mailing address for Violette A Jackson is 15525 Pomerado Rd Ste E4, Poway, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Violette A Jackson |
|---|---|
| Address | 15525 Pomerado Rd Ste E4, Poway, California |
| Phone Number | 8586745958 |
| Fax Number | 8584511104 |
| Sole Proprietor | Y |
| Credentials | LCS |
NPI Number Detail
| NPI Number | 1275640195 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2011-10-11 |
Provider Mailing Address Detail
| Address | 15525 Pomerado Rd Ste E4 |
|---|---|
| City | Poway |
| State | California (CA) |
| Post Code | 920642427 |
| Phone Number | 8586745958 |
| Fax Number | 8584511104 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS15995 |
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What is the unique 10-digit identifier code issued to Violette A Jackson by the Centers for Medicare & Medicaid Services?
The Violette A Jackson has been assigned the NPI (National Provider Identifier) 1275640195 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Violette A Jackson is geographically located?
The Violette A Jackson is physically situated at the following location: 15525 Pomerado Rd Ste E4, Poway, CA, 920642427.
What is Violette A Jackson's area of expertise and its corresponding taxonomy classification?
The Violette A Jackson's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Violette A Jackson receive its 1275640195?
The Violette A Jackson was issued its 1275640195 on 2006-08-24, which is the date when the organization was assigned this unique identifier.
As of what date were the Violette A Jackson's details last updated?
The information pertaining to the Violette A Jackson, including its address, specialty, and other details, was most recently updated on 2011-10-11.
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