Individual
DR. LATOSHA MONIQUE MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3001 1A 6TH STREET, GREAT LAKES, IL 60088
(847) 688-4560
Mailing address
2120 SUNSET LN, SOUTH HOLLAND, IL 60473-3773
(708) 895-0635
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051289463
IL
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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