Individual
LATORIA RANDILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
251 E SOUTHLAKE BLVD STE 150, SOUTHLAKE, TX 76092-6276
(254) 221-2900
Mailing address
251 E SOUTHLAKE BLVD STE 150, SOUTHLAKE, TX 76092-6276
(254) 221-2900
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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