KENANNA ANTOWAN JACKSON

SHREVEPORT, LA
NPI1093449449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2022-07-12
Last Update Date2022-07-12
Business Address
KENANNA ANTOWAN JACKSON
433 FLOURNOY LUCAS RD LOT 18
SHREVEPORT, LA 71106-8113
Phone number: 318-683-8356
Mailing Address
KENANNA ANTOWAN JACKSON
433 FLOURNOY LUCAS RD LOT 18
SHREVEPORT, LA 71106-8113
Phone number:
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