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Latonya Jackson

NPI 1215624960 · on the registry since 2023

Practice

Address
41 Bell St
Havana, FL 32333
Phone
(786) 309-3290

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
172V00000X
3747P1801X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-21

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 Florida