MRS. Latosha Marie Jackson, HAIR STYLIST

NPI #1215631676 in Reno, Nevada

Provider Information

NPI Number: 1215631676
Entity Type: Individual
Name: MRS. Latosha Marie Jackson, HAIR STYLIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Prosthetist
Credential: HAIR STYLIST
Enumeration Date: Mar 29, 2023
Last Updated: Mar 31, 2023

Practice Location

Address: 3710 GRANT DR STE A
City: Reno
State: Nevada
ZIP Code: 89509-5317
Phone: (775) 786-0885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X
Prosthetist	224P00000X	Primary

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