Individual
MISS LATOSHA MARIE SEAGROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N 14TH ST, PERRY, OK 73077-5022
(844) 458-2100
Mailing address
16101 GUNSMOKE, PERRY, OK 73077-9432
(580) 370-9757
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
10/05/2023
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