LAKESHIA WYNETTE JACKSON

SHREVEPORT, LA
NPI1083299473
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-17
Last Update Date2021-04-14
Business Address
LAKESHIA WYNETTE JACKSON
7505 PINES RD
SHREVEPORT, LA 71129-3935
Phone number: 318-683-4086
Mailing Address
LAKESHIA WYNETTE JACKSON
937 EDGEFIELD DR
SHREVEPORT, LA 71118-3405
Phone number: 318-560-8649