Individual
LATORIA KIESTA BYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 JONESTOWN ROAD, HARRISBURG, PA 17109
(717) 635-8238
Mailing address
4600 JONESTOWN ROAD SPC #74, HARRISBURG, PA 17109
(717) 635-8238
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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