DESIREE JACKSON

MANCHESTER, NH
NPI1679009534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  53403)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
-- DESIREE JACKSON
3000 GOFFS FALLS RD STE 101
MANCHESTER, NH 03103-6109
Phone number: 800-995-2673
Mailing Address
-- DESIREE JACKSON
3000 GOFFS FALLS RD STE 101
MANCHESTER, NH 03103-6109
Phone number: 800-995-2673
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