Individual
LATASHA MAE LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 GOOD HOPE RD SE, WASHINGTON, DC 20020-5615
(202) 796-5000
(771) 212-0040
Mailing address
1418 GOOD HOPE RD SE, WASHINGTON, DC 20020-5615
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
04/09/2024
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