Individual
LATOSHA YVONNE MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 MONO ST, FRESNO, CA 93706-3717
(559) 371-9661
Mailing address
2550 W CLINTON AVE, FRESNO, CA 93705-4201
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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