Individual
MRS. LATOYA DICOLE WINGFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3508 E 10TH AVE, TAMPA, FL 33605-4418
(727) 495-8702
Mailing address
PO BOX 75945, TAMPA, FL 33675-0945
(727) 495-8702
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
238518
FL
376J00000X
Homemaker
238518
FL
Other
Enumeration date
04/05/2022
Last updated
08/18/2022
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