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Latayvia Jackson

NPI 1225579824 · on the registry since 2017

Practice

Address
35-34 21streetapt#1h
Astoria, NY 11106
Phone
(646) 240-0903

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Female
Record last updated
2017-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York