Individual
LATASHIA HOLLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 RIORDAN WAY, ORLANDO, FL 32808-2411
(786) 608-2053
Mailing address
5501 RIORDAN WAY, ORLANDO, FL 32808-2411
(786) 608-2053
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
237711
FL
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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