Individual
LATASHA QUENSHAY URSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1277 N SEMORAN BLVD STE 117, ORLANDO, FL 32807-3574
(800) 921-0442
(877) 725-4150
Mailing address
23 WILLOW DR, ORLANDO, FL 32807-3219
(321) 314-2892
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
W422563
FL
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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