TANYA JACKSON

MARRERO, LA
NPI1356431555
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
(Licence: LA  06-1791001)
Enumeration Date2006-10-16
Last Update Date2007-07-08
Business Address
-- TANYA JACKSON
7521 WESTBANK EXPY STE B
MARRERO, LA 70072-2300
Phone number: 504-391-3191
Mailing Address
-- TANYA JACKSON
7521 WESTBANK EXPY STE B
MARRERO, LA 70072-2300
Phone number: 504-391-3191
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