JACKIE SMITH SIDES

MONROE, NC
NPI1710613757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NC  71366)
Enumeration Date2022-07-30
Last Update Date2022-07-30
Business Address
JACKIE SMITH SIDES
1408 E FRANKLIN ST
MONROE, NC 28112-5160
Phone number: 704-625-2080
Mailing Address
JACKIE SMITH SIDES
201 WILKES DR APT C7
MONROE, NC 28110-2731
Phone number: 704-465-5348