CENETHIA LASHA JACKSON

LAKE CITY, FL
NPI1053554873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  pn5176478)
Enumeration Date2009-04-09
Last Update Date2009-04-09
Business Address
-- CENETHIA LASHA JACKSON
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 386-487-0800
Mailing Address
-- CENETHIA LASHA JACKSON
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number:
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