GRACE JACKSON

MADISONVILLE, LA
NPI1912566886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: LA  312612)
Enumeration Date2019-06-13
Last Update Date2019-06-13
Business Address
Mrs. GRACE JACKSON CPM LM
397 BROWN THRASHER LOOP S
MADISONVILLE, LA 70447-3035
Phone number: 985-773-0449
Mailing Address
Mrs. GRACE JACKSON CPM LM
397 BROWN THRASHER LOOP S
MADISONVILLE, LA 70447-3035
Phone number: 985-773-0449