AMANDA RAYE JACKSON

MERIDIAN, MS
NPI1427625748
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2871)
Enumeration Date2021-06-06
Last Update Date2021-06-06
Business Address
Mrs. AMANDA RAYE JACKSON COTA/L
3716 HIGHWAY 39 N
MERIDIAN, MS 39301-1013
Phone number: 601-482-7164
Mailing Address
Mrs. AMANDA RAYE JACKSON COTA/L
1822 24TH AVE
MERIDIAN, MS 39301-3115
Phone number: 601-319-4905
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