Latoya Jackson

NPI #1427728195 in Doerun, Georgia

Provider Information

NPI Number
1427728195
Entity Type
Individual
Name
Latoya Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Contractor
Enumeration Date
Sep 15, 2021
Last Updated
Sep 15, 2021

Practice Location

Address
193 MINNESOTA RD
City
Doerun
State
Georgia
ZIP Code
31744-5011
Phone
(229) 921-9476

Specialties & Taxonomy Codes

Specialty
Contractor

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