SHAWANDA JACKSON

TAMPA, FL
NPI1184084063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: SC  8873)
Enumeration Date2016-03-04
Last Update Date2016-03-04
Business Address
Mrs. SHAWANDA JACKSON Dental Hygienist
3250 ZEMKE AVENUE
TAMPA, FL 33621-5205
Phone number: 813-827-9400
Mailing Address
Mrs. SHAWANDA JACKSON Dental Hygienist
3250 ZEMKE AVENUE
TAMPA, FL 33621-5205
Phone number: 813-827-9400