Individual
LATRICIA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 E MADISON AVE, APT. A, SPRINGFIELD, OH 45504-2254
(937) 591-0728
Mailing address
37 E MADISON AVE, APT. A, SPRINGFIELD, OH 45504-2254
(937) 591-0728
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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