Letreace Andrea Jackson

NPI #1932645389 in Mableton, Georgia

Provider Information

NPI Number
1932645389
Entity Type
Individual
Name
Letreace Andrea Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Enumeration Date
Jan 10, 2017
Last Updated
Jan 10, 2017

Practice Location

Address
5984 BROOKSIDE CT SE
State
Georgia
ZIP Code
30126-2896
Phone
(904) 487-2305

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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