LATORIA CLARK-JACKSON

GIBSONTON, FL
NPI1538787353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5151340)
Enumeration Date2020-07-08
Last Update Date2020-07-08
Business Address
LATORIA CLARK-JACKSON LPN
12802 KINGS LAKE DR
GIBSONTON, FL 33534-3907
Phone number: 813-400-4038
Mailing Address
LATORIA CLARK-JACKSON LPN
12802 KINGS LAKE DR
GIBSONTON, FL 33534-3907
Phone number:
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