Latasha Jackson

NPI #1407522733 in Desoto, Texas

Provider Information

NPI Number
1407522733
Entity Type
Individual
Name
Latasha Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Adult Companion
Enumeration Date
Aug 17, 2021
Last Updated
Sep 30, 2021

Practice Location

Address
532 BUCKINGHAM PL
City
Desoto
State
Texas
ZIP Code
75115-6111
Phone
(619) 846-5650

Specialties & Taxonomy Codes

Specialty
Adult Companion

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