Kimberly Jackson-Massaro's National Provider Identifier (NPI) Details
Kimberly Jackson-Massaro, MSW/LCSW
NPI: 1699969188
Enumeration Date: 2007-08-28
Last updated: 2022-12-17
Sole Proprietor: NO
Status: active
Postal Address: 3031 MORRIS AVE, CLOVIS, CA
Phone: 619-578-9255
Primary Practice Address: 3625 1ST AVE APT 38, SAN DIEGO, CA
Practice's phone: 619-578-9255