LANEASZE C JACKSON

CARBONDALE, IL
NPI1316782865
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies344600000X Taxi
Enumeration Date2024-06-26
Last Update Date2024-06-26
Business Address
Ms. LANEASZE C JACKSON
1061 E PARK ST APT 7
CARBONDALE, IL 62901-4031
Phone number: 937-522-1592
Mailing Address
Ms. LANEASZE C JACKSON
1061 E PARK ST APT 7
CARBONDALE, IL 62901-4031
Phone number: 937-522-1592