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Individual

LATARA LASSITER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
440 TAYLOR ST NE, WASHINGTON, DC 20017-1544
(202) 280-9192
Mailing address
6521 HIL MAR DR APT 401, DISTRICT HEIGHTS, MD 20747-4111
(202) 280-9192

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
10/13/2017
Last updated
03/17/2018
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