Individual
MR. ALTON ROY LATTERY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2090 NW 115TH ST, MIAMI, FL 33167-2710
(305) 687-7142
(305) 687-7142
Mailing address
2090 NW 115TH ST, MIAMI, FL 33167-2710
(305) 687-7142
(305) 687-7142
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/13/2010
Last updated
05/25/2017
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