Individual
DARLENE LATSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
1848 WAKE FOREST RD, RALEIGH, NC 27608-2730
(919) 443-0723
Mailing address
12201 MERIDIAN MARKET DR, FUQUAY VARINA, NC 27526-3812
(610) 960-1256
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21993
NC
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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