LARETTE DENISE JACKSON

ATLANTA, GA
NPI1952360851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN104440)
Enumeration Date2006-03-20
Last Update Date2009-02-18
Business Address
-- LARETTE DENISE JACKSON CRNA
2451 CUMBERLAND PKWY SE STE #3414
ATLANTA, GA 30339-6136
Phone number: 832-283-7792
Mailing Address
-- LARETTE DENISE JACKSON CRNA
2451 CUMBERLAND PKWY SE STE #3414
ATLANTA, GA 30339-6136
Phone number: 770-596-3498
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