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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DELORES JACKSON

Active Sole Proprietor

DELORES JACKSON is a Podiatric Surgery healthcare provider located in E PALO ALTO, California. NPI 1609454842 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · E PALO ALTO, CA

Registration Details

NPI Number
1609454842
Provider Type
Individual
Gender
Female
NPI Issued
Mar 30, 2021 (5.4156115473583 yrs)
Last Updated
Mar 30, 2021
Sole Proprietor
Yes

Practice Information

Address
909 TINSLEY ST
E PALO ALTO, CA, 943032584
Browse CA providers · Browse ZIP 94303
Phone
4044443407
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in E PALO ALTO, CA

Name Credential NPI
VICTOR MORTON 1346828852
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.