SHANTASIA JACKSON

BATON ROUGE, LA
NPI1689424426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-25
Last Update Date2024-08-21
Business Address
SHANTASIA JACKSON
3401 NORTH BLVD STE 200
BATON ROUGE, LA 70806-3743
Phone number: 225-381-6620
Mailing Address
SHANTASIA JACKSON
3401 NORTH BLVD STE 200
BATON ROUGE, LA 70806-3743
Phone number: 225-381-6620
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