Individual
MISS LATRISHA MARIE JANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
9101 N CENTRAL EXPY, SUITE 600, DALLAS, TX 75231-5927
(214) 823-1691
(214) 821-7089
Mailing address
1202 E ARAPAHO RD STE 600, RICHARDSON, TX 75081-2400
(469) 250-4422
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
310225
TX
246ZC0007X
Surgical Assistant
Primary
154638
TX
246ZC0007X
Surgical Assistant
SA00668
TX
246ZS0410X
Surgical Technologist
143216
—
Other
Enumeration date
04/24/2013
Last updated
11/23/2020
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