Lateasha C Jackson
NPI #1952766354 in Kansas City, Kansas
Provider Information
- NPI Number
- 1952766354
- Entity Type
- Individual
- Name
- Lateasha C Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist - Prosthetics Case Management
- Enumeration Date
- Dec 29, 2015
- Last Updated
- Dec 29, 2015
Practice Location
- Address
- 1110 N 47TH ST
- City
- Kansas City
- State
- Kansas
- ZIP Code
- 66102-1702
- Phone
- (913) 709-1122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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