JANET I JACKSON

BRENTWOOD, NY
NPI1609529486
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  34294201)
Enumeration Date2022-02-01
Last Update Date2022-02-01
Business Address
JANET I JACKSON
294 WURZ ST
BRENTWOOD, NY 11717-8026
Phone number: 631-452-7814
Mailing Address
JANET I JACKSON
294 WURZ ST
BRENTWOOD, NY 11717-8026
Phone number: 631-452-7814