Laticia S Jackson

NPI #1073236550 in Dayton, Ohio

Provider Information

NPI Number
1073236550
Entity Type
Individual
Name
Laticia S Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Sep 20, 2022
Last Updated
Sep 20, 2022

Practice Location

Address
4118 ANNAPOLIS AVE
City
Dayton
State
Ohio
ZIP Code
45416-1505
Phone
(937) 248-9741

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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