STEPHANIE CHANELLE JACKSON

ALBANY, NY
NPI1215716055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  345575)
Enumeration Date2023-09-21
Last Update Date2023-09-21
Business Address
STEPHANIE CHANELLE JACKSON LPN
59 MILLER AVE APT 1
ALBANY, NY 12203-2940
Phone number: 518-815-8792
Mailing Address
STEPHANIE CHANELLE JACKSON LPN
59 MILLER AVE APT 1
ALBANY, NY 12203-2940
Phone number: 518-815-8792
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