Lashanda Janice Jackson
NPI #1225525603 in Center Line, Michigan
Provider Information
- NPI Number
- 1225525603
- Entity Type
- Individual
- Name
- Lashanda Janice Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Apr 20, 2018
- Last Updated
- Apr 20, 2018
Practice Location
- Address
- 8033 E 10 MILE RD STE 114
- City
- Center Line
- State
- Michigan
- ZIP Code
- 48015-1454
- Phone
- (586) 756-6661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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