Individual
SHADONNA LATIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3155 E PATRICK LN, LAS VEGAS, NV 89120-3496
(702) 992-0576
(108) 992-0391
Mailing address
3155 E PATRICK LN, LAS VEGAS, NV 89120-3496
(702) 992-0576
(108) 992-0391
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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