Individual
DONYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
246 BLANKENSHIP RD, PLAIN DEALING, LA 71064-4619
(318) 326-4623
Mailing address
312 CRESTVIEW DR, PLAIN DEALING, LA 71064-3559
(318) 578-7452
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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