Latreese Jackson
Home Health Aide in Dundee, FL. Individual provider (NPI-1).
NPI number1508259367
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1508259367
- Entity type
- Individual (NPI-1)
- Name
- Latreese Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2015
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 376J00000X | Homemaker | – | – | |
| 372600000X | Adult Companion | – | – |
Practice location
2049 Amber Sweet CirDundee, FL 33838-4271
Phone 407-701-8201
Mailing address
2049 Amber Sweet CirDundee, FL 33838-4271
Phone 407-701-8201
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