SERIDA MARIE JACKSON

VALLEY STREAM, NY
NPI1154841120
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  328081)
Enumeration Date2017-06-21
Last Update Date2022-07-21
Business Address
Ms. SERIDA MARIE JACKSON LPN
106 COUNTISBURY AVE
VALLEY STREAM, NY 11580-1748
Phone number: 516-270-0943
Mailing Address
Ms. SERIDA MARIE JACKSON LPN
106 COUNTISBURY AVE
VALLEY STREAM, NY 11580-1748
Phone number: 516-270-0943