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Dominique Jackson
Student in an Organized Health Care Education/Training Program in Oceanside, California
NPI 1184164949

Dominique Jackson is a Student in an Organized Health Care Education/Training Program based in Oceanside, CA. Dominique Jackson practices in Oceanside, CA. The NPI Number for Dominique Jackson is 1184164949 and holds a License No. (California).

The current practice location address for Dominique Jackson is 1738 S Tremont St, Oceanside, CA and can be reached out via phone at 619-275-0822.

Location: 1738 S Tremont St, Oceanside, CA, 92054-5309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184164949
Provider Name
Dominique Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1738 S Tremont St, Oceanside, CA, 92054-5309
Phone Number
619-275-0822
Fax Number
Provider Enumeration Date
02/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1738 S Tremont St
City
Oceanside
State
California
Zip
92054-5309
Phone Number
619-275-0822
Fax Number
person
Provider Business Mailing Address Details
Address
1738 S Tremont St
City
Oceanside
State
California
Zip
92054-5309
Phone Number
619-275-0822
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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