Individual
LATISHA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9703 BLACK WALNUT DR, CLERMONT, FL 34715-6877
(407) 506-8521
Mailing address
9703 BLACK WALNUT DR, CLERMONT, FL 34715-6877
(407) 506-8521
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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