LILLIE PEARL JACKSON

RIVIERA BEACH, FL
NPI1174039945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5175495)
Enumeration Date2017-12-15
Last Update Date2017-12-15
Business Address
LILLIE PEARL JACKSON LPN
1611 W 35TH ST
RIVIERA BEACH, FL 33404-2925
Phone number: 561-542-9923
Mailing Address
LILLIE PEARL JACKSON LPN
1611 W 35TH ST
RIVIERA BEACH, FL 33404-2925
Phone number: 561-542-9923