LABRINTARY JACKSON

INDIANOLA, MS
NPI1952965840
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
Additional Taxonomies172A00000X Driver
174200000X 
Enumeration Date2019-04-25
Last Update Date2019-04-25
Business Address
LABRINTARY JACKSON
119 HERMAN JOHNSON W
INDIANOLA, MS 38751-3664
Phone number: 662-452-6006
Mailing Address
LABRINTARY JACKSON
119 HERMAN JOHNSON W
INDIANOLA, MS 38751-3664
Phone number:
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