MELANI D JACKSON

SYRACUSE, NY
NPI1073750204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  295456-1)
Enumeration Date2009-01-09
Last Update Date2009-01-09
Business Address
Mrs. MELANI D JACKSON LPN
2423 E GENESEE ST 2ND FL.
SYRACUSE, NY 13210-2223
Phone number: 315-474-0933
Mailing Address
Mrs. MELANI D JACKSON LPN
2423 E GENESEE ST 2ND FL.
SYRACUSE, NY 13210-2223
Phone number: 315-474-0933
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