JENAE LACHELLE JACKSON

FAIRMONT, WV
NPI1710615539
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-08-10
Last Update Date2022-08-10
Business Address
JENAE LACHELLE JACKSON
924 VIRGINIA AVE
FAIRMONT, WV 26554-3651
Phone number: 304-996-3061
Mailing Address
JENAE LACHELLE JACKSON
924 VIRGINIA AVE
FAIRMONT, WV 26554-3651
Phone number: 304-996-3061
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