JEANETTA JACKSON

PLYMOUTH MEETING, PA
NPI1174760904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AL  1-090823)
Enumeration Date2009-01-15
Last Update Date2009-01-15
Business Address
-- JEANETTA JACKSON
2250 HICKORY RD
PLYMOUTH MEETING, PA 19462-1047
Phone number: 800-879-4471
Mailing Address
-- JEANETTA JACKSON
816 SUNDALE DR
BIRMINGHAM, AL 35235-2319
Phone number: