Individual
LATOYA GLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7643 GATE PKWY STE 104-803, JACKSONVILLE, FL 32256-3092
(904) 893-0947
Mailing address
7643 GATE PKWY STE 104-803, JACKSONVILLE, FL 32256-3092
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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