Individual
LATANYA DOMINIQUE SENEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71687 HIGHWAY 111 STE 106, RANCHO MIRAGE, CA 92270-4515
(442) 256-6056
Mailing address
71687 HIGHWAY 111 STE 106, RANCHO MIRAGE, CA 92270-4515
(442) 256-6056
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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