DOMINIQUE JAQUETTA NICOLE BUCKNER

JACKSON, MS
NPI1508504515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MS  337392)
Enumeration Date2022-05-20
Last Update Date2023-03-20
Business Address
DOMINIQUE JAQUETTA NICOLE BUCKNER
655 MEADOWBROOK RD
JACKSON, MS 39206-5842
Phone number: 601-882-4878
Mailing Address
DOMINIQUE JAQUETTA NICOLE BUCKNER
655 MEADOWBROOK RD
JACKSON, MS 39206-5842
Phone number: 601-882-4878
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