LATEASHA C JACKSON

KANSAS CITY, KS
NPI1952766354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2015-12-29
Last Update Date2015-12-29
Business Address
-- LATEASHA C JACKSON
1110 N 47TH ST
KANSAS CITY, KS 66102-1702
Phone number: 913-709-1122
Mailing Address
-- LATEASHA C JACKSON
3227 N 103RD TER
KANSAS CITY, KS 66109-5814
Phone number: 913-709-1122
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