LASHANA JACKSON

CORAM, NY
NPI1841699170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  295625)
Enumeration Date2014-08-22
Last Update Date2014-08-22
Business Address
-- LASHANA JACKSON
29 COUNTRY CLUB DR APT B
CORAM, NY 11727-3420
Phone number: 631-786-6874
Mailing Address
-- LASHANA JACKSON
29 COUNTRY CLUB DR APT B
CORAM, NY 11727-3420
Phone number:
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