CANITRA JACKSON

AUSTIN, TX
NPI1689203812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  350212)
Enumeration Date2020-04-08
Last Update Date2020-04-08
Business Address
CANITRA JACKSON
3508 FAR WEST BLVD STE 130
AUSTIN, TX 78731-3081
Phone number: 512-828-3990
Mailing Address
CANITRA JACKSON
3508 FAR WEST BLVD STE 130
AUSTIN, TX 78731-3081
Phone number: 512-828-3990
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