Individual
LATOSHA DENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 W BURBANK BLVD # 5300, BURBANK, CA 91506-1315
(206) 430-8118
Mailing address
1812 W BURBANK BLVD # 5300, BURBANK, CA 91506-1315
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95010715
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60903459
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5966342
—
CA
Enumeration date
12/03/2018
Last updated
07/20/2020
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