Individual
MRS. HELENE M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 GIEFFERS ST, LAKE CHARLES, LA 70601-2601
(337) 439-6981
Mailing address
2001 GIEFFERS ST, LAKE CHARLES, LA 70601-2601
(337) 439-6981
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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