Individual
LATOYIA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21851 84TH AVE S, KENT, WA 98032-1958
(425) 687-7082
Mailing address
1003 108TH STREET CT E UNIT 102, TACOMA, WA 98445-3890
(601) 506-3177
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60677027
WA
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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