Individual
KALVINESHA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 BUSINESS PARK DR, DENHAM SPRINGS, LA 70726-7825
(888) 417-5250
Mailing address
106 BUSINESS PARK DR, DENHAM SPRINGS, LA 70726-7825
(888) 417-5250
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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