Individual
MS. LUCRETIA JACKSON-KAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRACTICAL NURSE
Contact information
Practice address
920 CHUMLEY RD APT F, PORTSMOUTH, VA 23701-1739
(574) 343-0542
Mailing address
920 CHUMLEY RD APT F, PORTSMOUTH, VA 23701-1739
(574) 343-0542
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002079151
VA
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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