Individual
LATISHA M SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
4808 RAMSEY ST STE 104, FAYETTEVILLE, NC 28311-1671
(910) 882-1579
Mailing address
1831 TRYON DR UNIT 4, FAYETTEVILLE, NC 28303-6214
(910) 882-1579
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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