SHALONTA JACKSON

FORT RUCKER, AL
NPI1841893492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: AL  2-066976)
Enumeration Date2020-11-17
Last Update Date2020-11-17
Business Address
SHALONTA JACKSON
301 ANDREWS AVENUE
FORT RUCKER, AL 36360
Phone number: 800-261-7193
Mailing Address
SHALONTA JACKSON
301 ANDREWS AVENUE
FORT RUCKER, AL 36360
Phone number:
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