SHANTE JACKSON

SNELLVILLE, GA
NPI1790428852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence:   0014217458)
Enumeration Date2022-04-17
Last Update Date2022-04-17
Business Address
SHANTE JACKSON
1597 HOLLY BROOK RD
SNELLVILLE, GA 30078-2219
Phone number: 203-725-2004
Mailing Address
SHANTE JACKSON
PO BOX 871
SNELLVILLE, GA 30078-0871
Phone number: 203-725-2004
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