LISA NICOLE JACKSON

BROOKLYN, NY
NPI1831468420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  307662-1)
Enumeration Date2011-12-28
Last Update Date2011-12-28
Business Address
-- LISA NICOLE JACKSON lpn
1599 PROSPECT PL APT 1E
BROOKLYN, NY 11233-4451
Phone number: 347-444-1936
Mailing Address
-- LISA NICOLE JACKSON lpn
1599 PROSPECT 1E
BROOKLYN, NY 11233
Phone number: 347-444-1936
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