Individual
MRS. LATANYA RENEE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
301 S FAIR OAKS AVE STE 202, PASADENA, CA 91105-2536
(626) 793-5250
(626) 793-5260
Mailing address
6033 S GARTH AVE STE 202, LOS ANGELES, CA 90056-1515
(310) 645-5045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A65104
CA
Other
Enumeration date
12/06/2006
Last updated
11/02/2021
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