Individual
LATASHA MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 WADE DR, SANFORD, NC 27330-1003
(919) 353-9707
Mailing address
505 WADE DR, SANFORD, NC 27330-1003
(919) 353-9707
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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