All Medicaid billing entities listing JACKSON, MARIANNE (CLINICAL DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| California | 1 | $16K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | CALIFORNIA STATE UNIVERSITY FRESNO FOUNDATION | FRESNO, CA | Early Intervention Provider Agency | $16K |