KEIVA NICOLE JACKSON

BATON ROUGE, LA
NPI1780208967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-06-03
Last Update Date2020-06-03
Business Address
KEIVA NICOLE JACKSON
7946 GOODWOOD BLVD
BATON ROUGE, LA 70806-7629
Phone number: 225-590-3313
Mailing Address
KEIVA NICOLE JACKSON
7946 GOODWOOD BLVD
BATON ROUGE, LA 70806-7629
Phone number: 225-590-3313
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