Individual
LATONYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 FLETCHER DR, LOGANSPORT, LA 71049-3035
(318) 871-7217
Mailing address
108 FLETCHER DR, LOGANSPORT, LA 71049-3035
(318) 871-7217
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
LA
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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