LYNETTE JACKSON

PHILADELPHIA, PA
NPI1467221770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  PN106995L)
Enumeration Date2023-12-28
Last Update Date2023-12-28
Business Address
LYNETTE JACKSON
5000 PARKSIDE AVE
PHILADELPHIA, PA 19131-4714
Phone number: 215-879-6116
Mailing Address
LYNETTE JACKSON
6139 NASSAU RD
PHILADELPHIA, PA 19151-4506
Phone number: 267-973-1679
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