Individual
LATISHIA SANFORD-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
518 RICE RD, SAN ANTONIO, TX 78220-3418
(210) 454-2900
Mailing address
518 RICE RD, SAN ANTONIO, TX 78220-3418
(210) 454-2900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
766286
TX
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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