SANDRA JACKSON

SHREVEPORT, LA
NPI1003536707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2022-09-01
Last Update Date2022-09-01
Business Address
SANDRA JACKSON
4513 PINE KNOLL DR
SHREVEPORT, LA 71107-2605
Phone number: 318-617-8095
Mailing Address
SANDRA JACKSON
4513 PINE KNOLL DR
SHREVEPORT, LA 71107-2605
Phone number:
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