LESLIE JACKSON

CHARLESTON, WV
NPI1508537119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-09-23
Last Update Date2021-09-23
Business Address
LESLIE JACKSON
1599 2ND AVE
CHARLESTON, WV 25387-2514
Phone number: 304-344-0586
Mailing Address
LESLIE JACKSON
PO BOX 20112
CHARLESTON, WV 25362-1112
Phone number: