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Individual

LATOSHA FAYE WHITESIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
374U00000X
Home Health Aide

Other

Enumeration date
04/18/2024
Last updated
06/25/2024
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