Individual
MS. LATOYA SAMUEL
Active
Individual
MS. LATOYA SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HLPC, RC, RCI
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
61285
SC
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35267
COSMETOLOGY INSTRUCTOR
SC
01
—
61285
COSMETOLOGY
SC
01
—
7247
HAIR LOSS PRACTIONER CERTIFICATION
SC
Enumeration date
03/10/2021
Last updated
10/24/2021
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