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Individual

LATASHA BELLANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
418 BROADWAY, STE N, ALBANY, NY 12207
(509) 768-2249
Mailing address
418 BROADWAY, STE N, ALBANY, NY 12207
(509) 768-2249

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
NY

Other

Enumeration date
05/12/2023
Last updated
05/12/2023
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