CHARTTISE JACKSON

BRONX, NY
NPI1750709176
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  314261)
Enumeration Date2014-04-02
Last Update Date2014-04-02
Business Address
-- CHARTTISE JACKSON
2849 ELY AVE UNIT 1
BRONX, NY 10469-6250
Phone number: 347-863-2187
Mailing Address
-- CHARTTISE JACKSON
2849 ELY AVE UNIT 1
BRONX, NY 10469-6250
Phone number: 347-863-2187