Individual
LATORIA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 LAUREL OAK LN, WINTER HAVEN, FL 33884-3455
(863) 331-2973
Mailing address
3023 LAUREL OAK LN, WINTER HAVEN, FL 33884-3455
(863) 331-2973
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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