Individual
LATOYIA LASHAY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 VILLAGE ST STE D, SLIDELL, LA 70458-5302
(985) 474-4273
Mailing address
118 VILLAGE ST STE D, SLIDELL, LA 70458-5302
(985) 474-4273
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
247000000X
Health Information Technician
—
—
374700000X
Technician
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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