Individual
LATESHIA MICHELLE ESAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
451 STATE ROAD 207, EAST PALATKA, FL 32131
(386) 916-5659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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