Individual
MS. LATIANNA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RTC
Contact information
Practice address
9650 ZELZAH AVE, NORTHRIDGE, CA 91325-2003
(818) 993-9311
Mailing address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 445-1117
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
4183-T
CA
Other
Enumeration date
09/18/2008
Last updated
07/22/2010
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