Individual provider · Type 1 NPI

Latia Sade Jackson

Other Technician · Ypsilanti, MI

NPI number 1205200680 Active

Practice location

230 S Hewitt Rd, Apt 204
Ypsilanti, MI 48197-4487

Call (989) 746-4360 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1205200680

Latia Sade Jackson's National Provider Identifier is 1205200680, issued on Nov 22, 2015. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Ypsilanti, MI. The record was last updated on Nov 22, 2015.