Jackson, Crystal Dawn

Jackson, Crystal Dawn is an sole proprietor health care provider with primary practice located at 14219 Kendra Way , Poway CA 92064-3330. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Jackson, Crystal Dawn can be contacted via phone (858) 837-0180.

Contact Information

Primary practice address
14219 Kendra Way Poway CA 92064-3330
Phone: (858) 837-0180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 37600 California

Profile Details

NPI number 1760137889
LBN Legal business name Jackson, Crystal Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2022
Last updated Feb 17th, 2022 - about 4 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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