Lateasha C Jackson
Lateasha C Jackson is a Prosthetics Case Management in Kansas City, Kansas. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
1110 N 47th StKansas City, KS 66102-1702
Phone: (913) 709-1122
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Specialties & licences
| Prosthetics Case Management (primary) | Taxonomy 1744P3200X |
|---|
Record details
| NPI number | 1952766354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 29, 2015 |
| Last updated in NPPES | December 29, 2015 |
| Mailing address | 3227 N 103rd Ter, Kansas City, KS 66109-5814 |
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