Individual
LATASHA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
107 E MAIN ST STE 204, BATH, PA 18014-1519
(484) 507-0116
Mailing address
107 E MAIN ST STE 204, BATH, PA 18014-1519
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CQ128107
PA
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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