Latoya Jackson

NPI #1659764645 in Garfield Hts, Ohio

Provider Information

NPI Number: 1659764645
Entity Type: Individual
Name: Latoya Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Mar 15, 2015
Last Updated: Mar 15, 2015

Practice Location

Address: 4918 NEO PKWY
City: Garfield Hts
State: Ohio
ZIP Code: 44128-3104
Phone: (216) 510-7941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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