Individual
MRS. LATESHA LARAE GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSE AIDE
Contact information
Practice address
1416 HOWARD AVE, UTICA, NY 13501-4504
(680) 217-1952
Mailing address
1416 HOWARD AVE, UTICA, NY 13501-4504
(315) 316-4499
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
343882291016E
NY
Other
Enumeration date
09/08/2023
Last updated
02/25/2024
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