NPI 1215631676

Latosha Marie Jackson, HAIRSTYLIST

Practitioner Prosthetist Reno, NV

Practice location

Address: 3710 Grant Dr STE a, Reno, NV 89509-5317
Phone: (775) 786-0885
Mailing address: 250 Karsten CT, Reno, NV 89506-5630

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1215631676
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2023
Record last updated: 31 Mar 2023

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.