Individual
LATARSHA MCCRIMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7003 VILLA DEL SOL DR, HOUSTON, TX 77083-2333
(281) 960-1391
Mailing address
7003 VILLA DEL SOL DR, HOUSTON, TX 77083-2333
(281) 960-1391
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
00803540
TX
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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