Individual
MS. LATONYA R. JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 BELL ST, HAVANA, FL 32333-6300
(786) 309-3290
Mailing address
PO BOX 556, HAVANA, FL 32333-0556
(786) 309-3290
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
FL
3747P1801X
Personal Care Attendant
—
FL
374U00000X
Home Health Aide
Primary
—
FL
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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