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Marykatherine Elaine Jackson
Student in an Organized Health Care Education/Training Program in Lancaster, California
NPI 1992360291

Marykatherine Elaine Jackson is a Student in an Organized Health Care Education/Training Program based in Lancaster, CA. Marykatherine Elaine Jackson practices in Lancaster, CA. The NPI Number for Marykatherine Elaine Jackson is 1992360291 and holds a License No. (California).

The current practice location address for Marykatherine Elaine Jackson is 42455 10Th St W Ste 103, Lancaster, CA and can be reached out via phone at 661-341-3900.

Location: 42455 10Th St W Ste 103, Lancaster, CA, 93534-7060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992360291
Provider Name
Marykatherine Elaine Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
42455 10Th St W Ste 103, Lancaster, CA, 93534-7060
Phone Number
661-341-3900
Fax Number
Provider Enumeration Date
05/02/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
42455 10Th St W Ste 103
City
Lancaster
State
California
Zip
93534-7060
Phone Number
661-341-3900
Fax Number
person
Provider Business Mailing Address Details
Address
42455 10Th St W Ste 103
City
Lancaster
State
California
Zip
93534-7060
Phone Number
661-341-3900
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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