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Tenita Jackson

NPI 1235407040 · on the registry since 2011 · sole proprietor

Practice

Address
100 Jerald Dr
Monroe, LA 71203
Phone
(318) 737-7079

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Sex
Female
Record last updated
2012-10-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana