Individual
MRS. LATORIA ISABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5524
(706) 596-5727
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5524
(706) 596-5727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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