WYTASHA JACKSON

WEBSTER, NY
NPI1750726881
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  292295)
Enumeration Date2013-05-02
Last Update Date2013-05-02
Business Address
-- WYTASHA JACKSON LPN
173 COUNTRY MANOR WAY
WEBSTER, NY 14580-3376
Phone number: 315-398-3702
Mailing Address
-- WYTASHA JACKSON LPN
173 COUNTRY MANOR WAY
WEBSTER, NY 14580-3376
Phone number: 315-398-3702
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