Individual
LATRICE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1974 SW 94TH TER, MIRAMAR, FL 33025-4748
(786) 295-7033
Mailing address
7972 PINES BLVD UNIT 246768, PEMBROKE PINES, FL 33024-8695
(954) 417-5908
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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