KAY-DEAN JACKSON

FAR ROCKAWAY, NY
NPI1932410966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  10 292012)
Enumeration Date2010-06-24
Last Update Date2010-06-24
Business Address
-- KAY-DEAN JACKSON
2916 FALCON AVE
FAR ROCKAWAY, NY 11691-1845
Phone number: 347-626-9071
Mailing Address
-- KAY-DEAN JACKSON
2916 FALCON AVE
FAR ROCKAWAY, NY 11691-1845
Phone number:
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