Jackson, Charlene Marie

Jackson, Charlene Marie is an individual health care provider with primary practice located at 800 Scenic Dr , Modesto CA 95350-6131. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Jackson, Charlene Marie can be contacted via phone (209) 525-6150.

Contact Information

Primary practice address
800 Scenic Dr Modesto CA 95350-6131
Phone: (209) 525-6150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X

Profile Details

NPI number 1245419472
LBN Legal business name Jackson, Charlene Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2007
Last updated Nov 6th, 2012 - about 14 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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