Individual
LATANGELA SHONTA VASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1104 BARTOW RD APT N163, LAKELAND, FL 33801-5826
(186) 339-9731
Mailing address
1104 BARTOW RD APT N163, LAKELAND, FL 33801-5826
(186) 339-9731
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/22/2020
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