SHAVONTA JACKSON

STONE MOUNTAIN, GA
NPI1336883602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: GA  CN0028901061)
Enumeration Date2022-04-23
Last Update Date2022-04-23
Business Address
SHAVONTA JACKSON CNA
1607 BARRINGTON VW
STONE MOUNTAIN, GA 30087-1846
Phone number: 678-582-9317
Mailing Address
SHAVONTA JACKSON CNA
1607 BARRINGTON VW
STONE MOUNTAIN, GA 30087-1846
Phone number: 678-582-9317
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