GRACE JACKSON

SLIDELL, LA
NPI1912566886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: LA  312612)
Enumeration Date2019-06-13
Last Update Date2024-06-11
Business Address
Mrs. GRACE JACKSON CPM LM
340 BRAKEFIELD ST
SLIDELL, LA 70458-3620
Phone number: 985-265-4032
Mailing Address
Mrs. GRACE JACKSON CPM LM
340 BRAKEFIELD ST
SLIDELL, LA 70458-3620
Phone number: 985-265-4032
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