LATONYA JACKSON
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1376292672- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 108 FLETCHER DR, LOGANSPORT, LA, 710493035
- Phone
- (318) 871-7217
Specialties & Taxonomies
Home Health Aide
Primary License: LA