Individual
LATOYA JODIAN LYTTLE-FORRESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 S MILTON RD, FLAGSTAFF, AZ 86001-0802
(928) 779-2661
Mailing address
1650 S MILTON RD, FLAGSTAFF, AZ 86001-0802
(928) 779-2661
(928) 864-5608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S026078
AZ
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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