Organization
LOVE, LA'TI PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA'TIANNA DOUGLAS CNA, ESTHETICIAN (CNA / CEO)
(321) 986-7978
Entity
Organization
Contact information
Practice address
577 PLAYER LN APT 5, MERRITT ISLAND, FL 32953-4327
(407) 272-7206
Mailing address
577 PLAYER LN APT 5, MERRITT ISLAND, FL 32953-4327
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/13/2024
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