TONYA L. JACKSON

PHOENIX, AZ
NPI1235467945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AZ  LP965595)
Enumeration Date2009-11-19
Last Update Date2009-11-19
Business Address
Ms. TONYA L. JACKSON
3401 N 67TH AVE
PHOENIX, AZ 85033-4517
Phone number: 623-691-4085
Mailing Address
Ms. TONYA L. JACKSON
561 N. SIRRINE ST.
MESA, AZ 85201
Phone number:
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