La Tonya Deonne Jackson is a rehabilitation practitioner in Pomona, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. La Tonya Deonne Jackson NPI is 1972019016. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2008 N GAREY AVE
POMONA, CA
ZIP 91767-722
Phone: (909) 623-6131
Fax: (909) 865-9281
The enumeration date for this NPI number is 12/27/2017 and was last updated on 12/27/2017.