Individual
KAYLA CAROL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 RIVERSIDE AVE APT 3G, TRENTON, NJ 08618-5243
(609) 815-5442
Mailing address
1112 RIVERSIDE AVE APT 3G, TRENTON, NJ 08618-5243
(609) 815-5442
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
AZ
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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