IDA JACKSON

MONROE, LA
NPI1356985444
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-10-31
Last Update Date2019-10-31
Business Address
IDA JACKSON
2808 EVANGELINE ST
MONROE, LA 71201-3750
Phone number: 318-325-9503
Mailing Address
IDA JACKSON
2808 EVANGELINE ST
MONROE, LA 71201-3750
Phone number:
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