SHANTE OCTAVIA JACKSON

PHILA, PA
NPI1982594313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
(Licence: PA  LPN303611)
Enumeration Date2025-07-07
Last Update Date2025-07-07
Business Address
SHANTE OCTAVIA JACKSON LpN
50 E WILLOW GROVE AVE APT 1
PHILA, PA 19118-3464
Phone number: 856-514-0073
Mailing Address
SHANTE OCTAVIA JACKSON LpN
50 E WILLOW GROVE AVE APT 1
PHILA, PA 19118-3464
Phone number: 856-514-0073
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