BIANCA JACKSON

LAKE CHARLES, LA
NPI1255940771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-07-30
Last Update Date2020-07-30
Business Address
BIANCA JACKSON
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601-5391
Phone number: 337-990-5305
Mailing Address
BIANCA JACKSON
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601-5391
Phone number:
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