Latoya Jackson Valid NPI
Individual provider · Point of Service · Tallahassee, FL
- NPI
- 1659807477
- Type
- Individual (Type 1)
- Primary specialty
- Point of Service
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305S00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2017-05-11
- Last updated
- 2017-05-11
Practice location
5742 Jodphur Ct
Tallahassee, FL 32303-6748
(850) 728-3413