Individual
JUANITA LATIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 LARCH AVE STE 397, NEWPORT, DE 19804-2356
(302) 599-1932
Mailing address
6 LARCH AVE STE 397, NEWPORT, DE 19804-2356
(302) 599-1932
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
DE
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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