LORETTA FRANCES JACKSON

BRONX, NY
NPI1518229707
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  643324051)
Enumeration Date2012-06-13
Last Update Date2012-06-13
Business Address
Mrs. LORETTA FRANCES JACKSON MSED
100-21G DEKRUIF PLACE
BRONX, NY 10475-0240
Phone number: 917-504-7948
Mailing Address
Mrs. LORETTA FRANCES JACKSON MSED
PO BOX 240
BRONX, NY 10475-0240
Phone number: 917-504-7948