GERMAINE RONKEITH JACKSON

NEW ORLEANS, LA
NPI1861984890
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  20121157)
Enumeration Date2018-06-05
Last Update Date2018-06-05
Business Address
GERMAINE RONKEITH JACKSON
5555 BULLARD AVE
NEW ORLEANS, LA 70128-3450
Phone number: 504-240-2696
Mailing Address
GERMAINE RONKEITH JACKSON
637 OAKWOOD DR
GRETNA, LA 70056-2932
Phone number: 504-729-0299
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