Individual
LATANYA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 MERCY DR, ORLANDO, FL 32808-5646
(407) 875-3700
Mailing address
4138 WESTGATE RD, ORLANDO, FL 32808-2120
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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