KENNETH DAVID JACKSON

NEW ORLEANS, LA
NPI1942674411
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-11-21
Last Update Date2015-11-21
Business Address
-- KENNETH DAVID JACKSON
3901 ULLOA ST
NEW ORLEANS, LA 70119-6942
Phone number: 504-267-5712
Mailing Address
-- KENNETH DAVID JACKSON
3901 ULLOA ST
NEW ORLEANS, LA 70119-6942
Phone number: 504-267-5712