COREY N JACKSON

LA VERGNE, TN
NPI1972873321
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171WH0202X Contractor, Home Modifications
Enumeration Date2012-01-03
Last Update Date2012-01-03
Business Address
-- COREY N JACKSON
130 MANKIN PL
LA VERGNE, TN 37086-3048
Phone number: 931-722-1443
Mailing Address
-- COREY N JACKSON
130 MANKIN PL
LA VERGNE, TN 37086-3048
Phone number: 931-722-1443