EUNIQUE JACKSON

CENTRAL ISLIP, NY
NPI1467710137
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  307758-1)
Enumeration Date2012-05-01
Last Update Date2012-05-01
Business Address
-- EUNIQUE JACKSON L.P.N
30 COVENTRY LN
CENTRAL ISLIP, NY 11722-2134
Phone number: 631-334-1131
Mailing Address
-- EUNIQUE JACKSON L.P.N
30 COVENTRY LN
CENTRAL ISLIP, NY 11722-2134
Phone number: 631-334-1131
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