MINYELLE JACKSON

BRENTWOOD, NY
NPI1215373980
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  287782)
Enumeration Date2013-05-21
Last Update Date2013-12-02
Business Address
-- MINYELLE JACKSON LPN
801 CROOKED HILL RD # 325
BRENTWOOD, NY 11717-1045
Phone number: 631-671-5798
Mailing Address
-- MINYELLE JACKSON LPN
801 CROOKED HILL RD # 325
BRENTWOOD, NY 11717-1045
Phone number: 631-671-5798
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