MISS Latrice Jackson
NPI #1174352280 in Sauk Village, Illinois
Provider Information
- NPI Number
- 1174352280
- Entity Type
- Individual
- Name
- MISS Latrice Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jul 29, 2024
- Last Updated
- Jul 29, 2024
Practice Location
- Address
- 2010 216TH ST
- City
- Sauk Village
- State
- Illinois
- ZIP Code
- 60411-4506
- Phone
- (708) 668-5449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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