Latavia Jackson
Latavia Jackson is a Personal Care Attendant in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2022.
- Licensed in
- LA
- In the registry since
- 2022
Practice location Address checks out
264 Wichita StShreveport, LA 71101-4932
Phone: (318) 254-3193
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Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X · Licence 2203782259 (LA) |
|---|
Record details
| NPI number | 1700536380 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 25, 2022 |
| Last updated in NPPES | March 25, 2022 |
| Certification date | March 25, 2022 |
| Mailing address | 264 Wichita St, Shreveport, LA 71101-4932 |
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