Individual
TERESA LATENDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 CARONDOLET CT W, MOBILE, AL 36608-5717
(205) 499-4612
Mailing address
116 CARONDOLET CT W, MOBILE, AL 36608-5717
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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