Angelita Jackson
NPI #1578078077 in Montgomery, New York
Provider Information
- NPI Number
- 1578078077
- Entity Type
- Individual
- Name
- Angelita Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 6, 2017
- Last Updated
- Dec 6, 2017
Practice Location
- Address
- 323 ANGELO DR
- City
- Montgomery
- State
- New York
- ZIP Code
- 12549-1627
- Phone
- (914) 980-7802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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