Individual
MRS. LATANISHA MONIQUE WALKER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 CYPRESS E, AVON, OH 44011-4024
(216) 650-1914
Mailing address
1601 CYPRESS E, AVON, OH 44011-4024
(216) 650-1914
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
CHW.001381
OH
374J00000X
Doula
Primary
374J00000X
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374J00000X
—
OH
Enumeration date
08/30/2024
Last updated
08/30/2024
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