Individual
LATONIA ROCHELLE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7104 CLOVERGLEN DR, DALLAS, TX 75249-1433
(972) 523-5043
(972) 227-9068
Mailing address
821 QUAIL RUN LN, LANCASTER, TX 75146-2844
(972) 523-5043
(972) 227-9068
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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