SearchWisconsin171M00000X

Latoya Jackson

NPI 1659036002 · on the registry since 2021 · sole proprietor

Practice

Address
5028 N 66th St
Milwaukee, WI 53218
Phone
(414) 350-1319

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Female
Record last updated
2021-11-01

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 Wisconsin