HOLLY JEAN JACKSON

CANANDAIGUA, NY
NPI1417351453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  308910)
Enumeration Date2014-10-20
Last Update Date2014-10-20
Business Address
-- HOLLY JEAN JACKSON LPN
5A LAFAYETTE AVENUE
CANANDAIGUA, NY 14424
Phone number: 585-905-1307
Mailing Address
-- HOLLY JEAN JACKSON LPN
5A LAFAYETTE AVENUE
CANANDAIGUA, NY 14424
Phone number: 585-905-1307