Individual
LETISHA S JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2885 MCCULLOUGH BLVD STE B, BELDEN, MS 38826-9022
(662) 231-1813
Mailing address
2885 MCCULLOUGH BLVD STE B, BELDEN, MS 38826-9022
(662) 231-1813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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