Individual
LATASHA BATTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COSMETOLOGY LICENSE
Contact information
Practice address
1325 MILLER RD, GREENVILLE, SC 29607-6540
(864) 283-0555
Mailing address
360 ROSSON LN APT C201, SPARTANBURG, SC 29301-2678
(864) 216-9934
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
SC
224P00000X
Prosthetist
—
SC
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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