AVIS SHANTRELL JACKSON

MIAMI, FL
NPI1861030835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2019-12-20
Last Update Date2019-12-20
Business Address
AVIS SHANTRELL JACKSON
1700 NW 66TH ST
MIAMI, FL 33147-7444
Phone number: 786-333-4557
Mailing Address
AVIS SHANTRELL JACKSON
1700 NW 66TH ST
MIAMI, FL 33147-7444
Phone number: 786-333-4557
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