Individual
LATASHA MICHELLE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA1
Contact information
Practice address
3125 EASTWAY DR # 203, CHARLOTTE, NC 28205-5643
(704) 802-9546
Mailing address
3121 LEASIDE LN, CHARLOTTE, NC 28209-2039
(704) 802-9546
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
516524
NC
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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