Individual
GARY LATONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDM MANAGER
Contact information
Practice address
14363 LORNE ST, PANORAMA CITY, CA 91402-5207
(818) 268-8748
Mailing address
14363 LORNE ST, PANORAMA CITY, CA 91402
(818) 268-8745
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
170408
CA
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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