KINOMI SUCARA JACKSON

ROCHESTER, NY
NPI1831585090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  321515)
Enumeration Date2015-04-14
Last Update Date2015-04-14
Business Address
-- KINOMI SUCARA JACKSON
15 BRADDOCK ST
ROCHESTER, NY 14612-2113
Phone number: 585-284-2946
Mailing Address
-- KINOMI SUCARA JACKSON
15 BRADDOCK ST
ROCHESTER, NY 14612-2113
Phone number: 585-284-2946
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