ANNIE JACKSON

PHOENIX, IL
NPI1700338712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
(Licence: IL  043068868)
Enumeration Date2016-10-26
Last Update Date2016-10-26
Business Address
-- ANNIE JACKSON
517 E 153RD ST
PHOENIX, IL 60426-2308
Phone number: 708-513-2866
Mailing Address
-- ANNIE JACKSON
517 E 153RD ST
PHOENIX, IL 60426-2308
Phone number: 708-513-2866