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Latia Sade Jackson
Other Technician in Ypsilanti, Michigan
NPI 1205200680

Latia Sade Jackson is a Other Technician based in Ypsilanti, MI. Latia Sade Jackson practices in Ypsilanti, MI. The NPI Number for Latia Sade Jackson is 1205200680 and holds a License No. (Michigan).

The current practice location address for Latia Sade Jackson is 230 S Hewitt Rd, Ypsilanti, MI and can be reached out via phone at 989-746-4360.

Location: 230 S Hewitt Rd, Ypsilanti, MI, 48197-4487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205200680
Provider Name
Latia Sade Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
230 S Hewitt Rd, Ypsilanti, MI, 48197-4487
Phone Number
989-746-4360
Fax Number
Provider Enumeration Date
11/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
247200000 01 MI TECHNICIAN
institution
Provider Business Practice Location Address Details
Address
230 S Hewitt Rd
City
Ypsilanti
State
Michigan
Zip
48197-4487
Phone Number
989-746-4360
Fax Number
person
Provider Business Mailing Address Details
Address
230 S Hewitt Rd
City
Ypsilanti
State
Michigan
Zip
48197-4487
Phone Number
989-746-4360
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
()
Definition
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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