KENANNA ANTOWAN JACKSON
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1093449449- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 433 FLOURNOY LUCAS RD LOT 18, SHREVEPORT, LA, 711068113
- Phone
- (318) 683-8356
Specialties & Taxonomies
Home Health Aide
Primary
All Addresses
MAILING
433 FLOURNOY LUCAS RD LOT 18
SHREVEPORT, LA, 711068113