KADEDRA JACKSON
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1316664576- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6201 BERT KOUNS INDUSTRIAL LOOP LOT 656, SHREVEPORT, LA, 711295046
- Phone
- (318) 918-4987
Specialties & Taxonomies
Home Health Aide
Primary
All Addresses
MAILING
6201 BERT KOUNS INDUSTRIAL LOOP LOT 656
SHREVEPORT, LA, 711295046