SKYLAR JACKSON

Community Health Worker

Active Individual
NPI: 1104536119

Practice Address

1116 LEGEND CIR
Vallejo, CA 94591

Phone: (707) 647-3972

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X No -
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1104536119 is the National Provider Identifier for SKYLAR JACKSON, a Community Health Worker provider located in Vallejo, CA. This NPI was enumerated on November 30, 2022.
SKYLAR JACKSON practices at 1116 LEGEND CIR, Vallejo, CA 94591.

Quick Facts

NPI
1104536119
Type
Individual
Enumerated
Nov 30, 2022
Last Updated
Jan 3, 2024

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