KERIANA EDWINA JACKSON

LOGANVILLE, GA
NPI1790529329
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174H00000X Health Educator
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2024-06-19
Last Update Date2024-06-19
Business Address
KERIANA EDWINA JACKSON
1331 ROSE TERRACE CIR
LOGANVILLE, GA 30052-9046
Phone number: 678-622-6687
Mailing Address
KERIANA EDWINA JACKSON
1331 ROSE TERRACE CIR
LOGANVILLE, GA 30052-9046
Phone number: 678-622-6687