DEJA JACKSON

ST PETERSBURG, FL
NPI1659022192
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2022-01-17
Last Update Date2022-01-17
Business Address
DEJA JACKSON
7010 15TH ST N
ST PETERSBURG, FL 33702-5738
Phone number: 727-200-4045
Mailing Address
DEJA JACKSON
14502 RAVEN BRK APT 302
TAMPA, FL 33613-2977
Phone number: