LATASHA JACKSON

MILWAUKEE, WI
NPI1801369111
Other NameLATASHA JACKSON SCOTT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  31744531)
Enumeration Date2019-01-09
Last Update Date2019-01-09
Business Address
LATASHA JACKSON LPN
4573 N 22ND ST
MILWAUKEE, WI 53209-6309
Phone number: 414-517-2825
Mailing Address
LATASHA JACKSON LPN
4573 N 22ND ST
MILWAUKEE, WI 53209-6309
Phone number:
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