LATOYA JACKSON

DETROIT, MI
NPI1144340902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004292)
Enumeration Date2007-03-29
Last Update Date2013-05-14
Business Address
Mrs. LATOYA JACKSON PA-C
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3300
Mailing Address
Mrs. LATOYA JACKSON PA-C
6071 W OUTER DR SGR
DETROIT, MI 48235
Phone number: 313-966-3300
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