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Individual

MRS. LATOYA KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2705 LITTLE ELM PKWY STE 180, LITTLE ELM, TX 75068-6698
(972) 804-2429
(877) 899-2601
Mailing address
200B CASTLERIDGE DR, LITTLE ELM, TX 75068-5527
(972) 804-2429
(877) 899-2601

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1685607
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1685607
PROSTHETIC SPECIALIST
TX
Enumeration date
05/26/2019
Last updated
05/26/2019
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