TONTALAYAH ZURI JACKSON

BRONX, NY
NPI1245940121
Former NameTONTALAYAH GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  344925-01)
Enumeration Date2022-12-01
Last Update Date2022-12-01
Business Address
TONTALAYAH ZURI JACKSON
936 HOE AVE APT 2A
BRONX, NY 10459-3653
Phone number: 917-792-7116
Mailing Address
TONTALAYAH ZURI JACKSON
936 HOE AVE APT 2A
BRONX, NY 10459-3653
Phone number:
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