LATANYA JACKSON

CLARKSVILLE, TN
NPI1558072421
Other NameLATANYA JEMISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246R00000X Technician, Pathology
(Licence: TN  67093)
Enumeration Date2022-12-12
Last Update Date2022-12-12
Business Address
LATANYA JACKSON Pbt
315 PROVIDENCE BLVD
CLARKSVILLE, TN 37042-4325
Phone number: 615-300-3724
Mailing Address
LATANYA JACKSON Pbt
1897 EISENHOWER RD
CLARKSVILLE, TN 37042-9583
Phone number: 615-300-3724