Latrese Jackson
NPI #1295316511 in Lizella, Georgia
Provider Information
- NPI Number
- 1295316511
- Entity Type
- Individual
- Name
- Latrese Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Apr 19, 2021
- Last Updated
- Apr 19, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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