KEISHA LASHON JACKSON NRCMA
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1609515311- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NRCMA
- Status
- Active
Contact & Location
- Address
- 146 CHELSEA DR, SHREVEPORT, LA, 711054206
- Phone
- (318) 996-8995
Specialties & Taxonomies
Contractor
License: LA
Home Health Aide
Primary License: LA