Individual
LATASHA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31764 CASINO DR, LAKE ELSINORE, CA 92530-2312
(951) 471-4645
Mailing address
31764 CASINO DR, LAKE ELSINORE, CA 92530-2312
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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