| NPI | 1598044687 |
|---|---|
| Former Name | SHERYL SWOOPES JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000558) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-25 |