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Latasha Jackson
NPI 1407522733 · on the registry since 2021
Practice
- Address
- 532 Buckingham Pl
Desoto, TX 75115 - Phone
- (619) 846-5650
- Organisation at this address
- Jackson Support Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 372600000X
372600000X
- Sex
- Female
- Record last updated
- 2021-09-30
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 Texas