NPI 1073236550

Laticia S Jackson

Practitioner Non-emergency Medical Transport (VAN) Dayton, OH

Practice location

Address: 4118 Annapolis Ave, Dayton, OH 45416-1505
Phone: (937) 248-9741

Registered specialties

Non-emergency Medical Transport (VAN) Primary

Transportation Services Taxonomy 343900000X Licence RR641726 (OH)

Other Non-emergency Medical Transport (VAN) providers in Ohio →

Registry record

NPI: 1073236550
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2022
Record last updated: 20 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.