BETHANY ANDREA JACKSON

CHICOPEE, MA
NPI1770328502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MA  Ln88992)
Enumeration Date2024-06-25
Last Update Date2024-06-25
Business Address
BETHANY ANDREA JACKSON Nurse
1109 GRANBY RD
CHICOPEE, MA 01020-1568
Phone number: 823-243-8255
Mailing Address
BETHANY ANDREA JACKSON Nurse
1109 GRANBY RD
CHICOPEE, MA 01020-1568
Phone number: 833-243-8255