JACKQUAIL CHISM

SHREVEPORT, LA
NPI1740955988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2021-08-10
Last Update Date2021-08-10
Business Address
JACKQUAIL CHISM
2800 YOUREE DR STE 204
SHREVEPORT, LA 71104-3668
Phone number: 318-585-0213
Mailing Address
JACKQUAIL CHISM
7300 W CANAL BLVD
SHREVEPORT, LA 71108-4914
Phone number:
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