Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Latana Jackson | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | Latana | [sources] | |||
Last name | Jackson | [sources] | |||
Registration number | 44984 | [sources] | |||
Sector | Respiratory Care Practitioner | [sources] | |||
Address | 216 Amelia Drive, Byron, GA, 31008 | [sources] | |||
Last change | Last processed | First seen |
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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