Individual
ARIELLE MONIQUE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
148 ROXBOROUGH RD, ROCHESTER, NY 14619-1418
(585) 305-1070
Mailing address
148 ROXBOROUGH RD, ROCHESTER, NY 14619-1418
(585) 305-1070
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340814-01
NY
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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