Individual
LATISHA TERRELL WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4920 SE ABSHIER BLVD, BELLEVIEW, FL 34420-3807
(352) 245-0177
Mailing address
78 WILLOW RD, OCALA, FL 34472-8673
(407) 928-7820
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
FL
183700000X
Pharmacy Technician
—
—
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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