Individual
LATOYA GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 E FOURTEENTH ST, YAZOO CITY, MS 39194-2625
(662) 571-7413
Mailing address
413 E FOURTEENTH ST, YAZOO CITY, MS 39194-2625
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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