TIFFANY JACKSON

MONROE, LA
NPI1457864399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  20102436)
Enumeration Date2017-11-14
Last Update Date2017-11-14
Business Address
TIFFANY JACKSON
1705 WASHINGTON ST
MONROE, LA 71201-7046
Phone number: 318-325-8048
Mailing Address
TIFFANY JACKSON
1705 WASHINGTON ST
MONROE, LA 71201-7046
Phone number: