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Individual

LATASHIA HAIRSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAT ATC LAT

Contact information

Practice address
6026 SPELLMAN RD, HOUSTON, TX 77096-5843
(832) 372-5764
Mailing address
6026 SPELLMAN RD, HOUSTON, TX 77096-5843

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/22/2016
Last updated
07/22/2016
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