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Individual

MRS. LATASHA BELLAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4452 LOVETT RD, MARIANNA, FL 32448-5019
(850) 372-2047
Mailing address
4452 LOVETT RD, MARIANNA, FL 32448-5019
(850) 372-2047

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
04/28/2023
Last updated
04/28/2023
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