ANNITTA JACKSON

SOUTH BEND, IN
NPI1750077210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27060852A)
Enumeration Date2023-04-17
Last Update Date2023-04-17
Business Address
ANNITTA JACKSON LPN
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601-1074
Phone number: 574-400-4550
Mailing Address
ANNITTA JACKSON LPN
621 MEMORIAL DR STE 402
SOUTH BEND, IN 46601-1074
Phone number: 574-400-4550
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