LANIKKI JACKSON

NEW MADRID, MO
NPI1154150738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies253Z00000X In Home Supportive Care
Enumeration Date2024-07-31
Last Update Date2024-07-31
Business Address
LANIKKI JACKSON
430 MISSOURI AVE
NEW MADRID, MO 63869-1420
Phone number: 573-936-6735
Mailing Address
LANIKKI JACKSON
430 MISSOURI AVE
NEW MADRID, MO 63869-1420
Phone number: 573-936-6735