PATRICE QUINETTE JACKSON

BATON ROUGE, LA
NPI1952910846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172A00000X Driver
(Licence: LA  005562615)
Enumeration Date2020-07-27
Last Update Date2020-07-27
Business Address
Mrs. PATRICE QUINETTE JACKSON
7274 MODESTO AVE
BATON ROUGE, LA 70811-4427
Phone number: 225-288-7917
Mailing Address
Mrs. PATRICE QUINETTE JACKSON
7274 MODESTO AVE
BATON ROUGE, LA 70811-4427
Phone number: 225-288-7917
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