CHAKA JACKSON

HATTIESBURG, MS
NPI1922683580
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  901694)
Enumeration Date2021-03-16
Last Update Date2021-09-13
Business Address
CHAKA JACKSON
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-261-3606
Mailing Address
CHAKA JACKSON
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-261-3606
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