SHAQUAN JACKSON

ROCHESTER, NY
NPI1730818691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  342121)
Enumeration Date2022-06-07
Last Update Date2022-06-07
Business Address
SHAQUAN JACKSON
214 SAINT PATRICK DR
ROCHESTER, NY 14623-3730
Phone number: 585-615-4905
Mailing Address
SHAQUAN JACKSON
214 SAINT PATRICK DR
ROCHESTER, NY 14623-3730
Phone number: 585-615-4905
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