Individual
MRS. LATOYA LUELLA BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9324 CEMETERY AVE, LEESBURG, FL 34788
(352) 434-8537
Mailing address
PO BOX 350752, GRAND ISLAND, FL 32735-0752
(352) 434-8537
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
234359
FL
Other
Enumeration date
11/03/2017
Last updated
08/09/2018
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