STEPHANIE JACKSON

MEDFORD, NY
NPI1548601511
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  264400)
Enumeration Date2013-07-08
Last Update Date2013-07-08
Business Address
-- STEPHANIE JACKSON Lpn
39 W. YAPHANK RD.
MEDFORD, NY 11763
Phone number: 631-320-3077
Mailing Address
-- STEPHANIE JACKSON Lpn
39 W. YAPHANK RD.
MEDFORD, NY 11763
Phone number:
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