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Individual

KESHIA JACKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13 CLEVELAND ST, VALLEY STREAM, NY 11580-6003
(516) 823-0739
Mailing address
PO BOX 538, MAPLEWOOD, NJ 07040-0538
(347) 469-8415

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
660880
NY
374J00000X
Doula
Primary

Other

Enumeration date
01/20/2013
Last updated
01/13/2025
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