Individual
LILIAN KAESA LATAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 BUENA VISTA DR, NEW CASTLE, DE 19720-4660
(302) 328-2580
Mailing address
8 COLONY BLVD, APT 317, WILMINGTON, DE 19802-1465
(302) 764-2165
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0000851
DE
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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