Individual
MRS. LATOYA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBC
Contact information
Practice address
320 COLWICK LN, MORRISVILLE, NC 27560-6624
(919) 928-6861
Mailing address
320 COLWICK LN, MORRISVILLE, NC 27560-6624
(919) 928-6861
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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