Individual
LATRANAE KENYETTE ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6751 4TH AVE, LOS ANGELES, CA 90043-4460
(323) 210-5752
Mailing address
6751 4TH AVE, LOS ANGELES, CA 90043-4460
(323) 210-5752
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
03/20/2022
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