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Laticia S Jackson
Non-emergency Medical Transport (VAN) in Dayton, Ohio
NPI 1073236550

Laticia S Jackson is a Non-emergency Medical Transport (VAN) based in Dayton, OH. Laticia S Jackson practices in Dayton, OH. The NPI Number for Laticia S Jackson is 1073236550 and holds a License No. RR641726 (Ohio).

The current practice location address for Laticia S Jackson is 4118 Annapolis Ave, Dayton, OH and can be reached out via phone at 937-248-9741. You can also correspond with Laticia S Jackson through the mailing address at 4118 ANNAPOLIS AVE, DAYTON, OH - 45416-1505 (mailing address contact number: 937-248-9741).

Location: 4118 Annapolis Ave, Dayton, OH, 45416-1505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073236550
Provider Name
Laticia S Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4118 Annapolis Ave, Dayton, OH, 45416-1505
Phone Number
937-248-9741
Fax Number
Provider Enumeration Date
09/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0498434 05 OH
institution
Provider Business Practice Location Address Details
Address
4118 Annapolis Ave
City
Dayton
State
Ohio
Zip
45416-1505
Phone Number
937-248-9741
Fax Number
person
Provider Business Mailing Address Details
Address
4118 Annapolis Ave
City
Dayton
State
Ohio
Zip
45416-1505
Phone Number
937-248-9741
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
RR641726 (Ohio)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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