ALEXIUS WANEQUAL JACKSON

JEFFERSON, TX
NPI1578042172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  328492)
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
ALEXIUS WANEQUAL JACKSON
120 N WALNUT ST
JEFFERSON, TX 75657-1934
Phone number: 903-665-6131
Mailing Address
ALEXIUS WANEQUAL JACKSON
PO BOX 901
JEFFERSON, TX 75657-0901
Phone number:
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