LATRICE JACKSON

SAUK VILLAGE, IL
NPI1174352280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: IL  041398810)
Enumeration Date2024-07-29
Last Update Date2024-07-29
Business Address
Miss LATRICE JACKSON
2010 216TH ST
SAUK VILLAGE, IL 60411-4506
Phone number: 708-668-5449
Mailing Address
Miss LATRICE JACKSON
14200 S PARNELL AVE
RIVERDALE, IL 60827-2313
Phone number: 708-668-5449
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