CLISSIE TERERSA JACKSON

BIRMINGHAM, AL
NPI1467721829
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
(Licence: MO  119405b)
Enumeration Date2011-12-14
Last Update Date2011-12-14
Business Address
-- CLISSIE TERERSA JACKSON home care
208 74TH ST N
BIRMINGHAM, AL 35206-4261
Phone number: 313-358-0035
Mailing Address
-- CLISSIE TERERSA JACKSON home care
208 74TH ST N
BIRMINGHAM, AL 35206-4261
Phone number: 313-358-0035
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