Individual
LATASHA E THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 BREWTON ST, DISTRICT HEIGHTS, MD 20747-1845
(407) 663-3395
Mailing address
2003 BREWTON ST, DISTRICT HEIGHTS, MD 20747-1845
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05631
MD
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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