Individual
LATYCE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44199 MONROE ST STE C, INDIO, CA 92201-3094
(951) 715-5050
Mailing address
10281 KIDD ST, RIVERSIDE, CA 92503-3469
(951) 715-5050
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
08/23/2023
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