ATWALAUN CHANTELLE JACKSON

MEMPHIS, TN
NPI1912345869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  0000048918)
Enumeration Date2013-06-12
Last Update Date2013-06-12
Business Address
MRS. ATWALAUN CHANTELLE JACKSON LPN
1734 MADISON AVE
MEMPHIS, TN 38104-6414
Phone number: 901-722-9420
Mailing Address
MRS. ATWALAUN CHANTELLE JACKSON LPN
1734 MADISON AVE
MEMPHIS, TN 38104-6414
Phone number: 901-722-9420