Individual
MS. LATISHA NICOLE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 SW 10TH LN APT D, GAINESVILLE, FL 32601-2806
(772) 332-7405
Mailing address
610 SW 10TH LN APT D, GAINESVILLE, FL 32601-2806
(772) 332-7405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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