Latia Sade Jackson
Latia Sade Jackson is an Other Technician in Ypsilanti, Michigan. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
230 S Hewitt Rd Apt 204Ypsilanti, MI 48197-4487
Phone: (989) 746-4360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1205200680 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 22, 2015 |
| Last updated in NPPES | November 22, 2015 |
| Mailing address | 230 S Hewitt Rd, Apt 204, Ypsilanti, MI 48197-4487 |
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