Individual
SHARLAYNE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6217 WESTBANK EXPY, MARRERO, LA 70072-2858
(832) 474-5534
(504) 324-0878
Mailing address
341 LATIGUE RD, WESTWEGO, LA 70094-2360
(832) 474-5534
(504) 324-0878
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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