Individual
LATANYA RAISHAWN CARR OYESILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11303 W WASHINGTON BLVD, LOS ANGELES, CA 90066-6003
(310) 482-3260
Mailing address
11303 W WASHINGTON BLVD, LOS ANGELES, CA 90066-6003
(310) 482-3260
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
05/12/2025
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