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Individual

MS. LATONYA PATRICE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3606 W EXPOSITION BLVD, LOS ANGELES, CA 90016
(323) 298-3501
(323) 298-3542
Mailing address
9150 EAST IMPERIAL HIGHWAY, ROOM P-31, DOWNEY, CA 91242
(562) 940-3694
(562) 658-4725

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/25/2008
Last updated
02/25/2008
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