Individual
MRS. LATAYSHA D ARCHANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADMINISTRATION
Contact information
Practice address
7207 BUCANERO, GRAND PRAIRIE, TX 75054-5534
(469) 515-2227
(689) 222-7273
Mailing address
7207 BUCANERO, GRAND PRAIRIE, TX 75054-5534
(469) 515-2227
(689) 222-7273
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A9635307
—
TX
Enumeration date
05/25/2022
Last updated
05/26/2022
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