KENITA JACKSON

FARGO, ND
NPI1831791342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2020-11-10
Last Update Date2020-11-10
Business Address
KENITA JACKSON
919 16TH ST N APT E
FARGO, ND 58102-3917
Phone number: 701-205-7323
Mailing Address
KENITA JACKSON
919 16T ST N ATP E
FARGO, ND 58102
Phone number: 701-205-7323
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