Individual
MRS. LATOSHA MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR STYLIST
Contact information
Practice address
3710 GRANT DR STE A, RENO, NV 89509-5317
(775) 786-0885
Mailing address
250 KARSTEN CT, RENO, NV 89506-5630
(775) 770-8023
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
NV
335E00000X
Prosthetic/Orthotic Supplier
—
NV
Other
Enumeration date
03/29/2023
Last updated
03/31/2023
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