Marita Cecilia Jackson, LVN

NPI #1154821668 in Allen, Texas

Provider Information

NPI Number
1154821668
Entity Type
Individual
Name
Marita Cecilia Jackson, LVN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Credential
LVN
Enumeration Date
Feb 20, 2018
Last Updated
Feb 20, 2018

Practice Location

Address
327 S JUPITER RD APT 924
City
Allen
State
Texas
ZIP Code
75002-3074
Phone
(619) 416-5775

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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