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Latreese Jackson
NPI 1508259367 · on the registry since 2015
Practice
- Address
- 2049 Amber Sweet Cir
Dundee, FL 33838 - Phone
- (407) 701-8201
- Organisation at this address
- Divine Purpose With Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 376J00000X
372600000X - Sex
- Female
- Record last updated
- 2022-11-29
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