LATICIA S JACKSON

DAYTON, OH
NPI1073236550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: OH  RR641726)
Enumeration Date2022-09-20
Last Update Date2022-09-20
Business Address
LATICIA S JACKSON
4118 ANNAPOLIS AVE
DAYTON, OH 45416-1505
Phone number: 937-248-9741
Mailing Address
LATICIA S JACKSON
4118 ANNAPOLIS AVE
DAYTON, OH 45416-1505
Phone number: 937-248-9741
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