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Organization

TRANSFORMATION HEALTH LLC

Active
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Organization

TRANSFORMATION HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LATICIA JACKSON MPH. CPT, CLWMS (OWNER)
(850) 696-8069
Entity
Organization

Contact information

Practice address
4400 BAYOU BLVD STE 47-B3, PENSACOLA, FL 32503-2673
(850) 696-8069
Mailing address
4051 E OLIVE RD APT 274, PENSACOLA, FL 32514-6445
(850) 696-8069

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Enumeration date
06/22/2016
Last updated
06/22/2016
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