ANGELA C JACKSON

LITHONIA, GA
NPI1952603623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  LD002290)
Enumeration Date2010-12-01
Last Update Date2010-12-01
Business Address
Ms. ANGELA C JACKSON RD, LD
5408 WELLBORN CREEK DR
LITHONIA, GA 30058-3549
Phone number: 678-418-7010
Mailing Address
Ms. ANGELA C JACKSON RD, LD
5408 WELLBORN CREEK DR
LITHONIA, GA 30058-3549
Phone number: 678-418-7010