Individual
SIERRA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 STELLA PL, MARRERO, LA 70072-3633
(504) 205-2547
Mailing address
1509 STELLA PL, MARRERO, LA 70072-3633
(504) 205-2547
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
LA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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