DIANA YASHIEKA JACKSON

ROCHESTER, NY
NPI1255787594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  324525-1)
Enumeration Date2016-05-05
Last Update Date2016-05-05
Business Address
-- DIANA YASHIEKA JACKSON
973 PORTLAND AVE DOWNSTAIRS
ROCHESTER, NY 14621-4165
Phone number: 585-953-2235
Mailing Address
-- DIANA YASHIEKA JACKSON
973 PORTLAND AVE DOWNSTAIRS
ROCHESTER, NY 14621-4165
Phone number: 585-953-2235
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