Individual
MORGAN SHYANNE LATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
85775 S 4680 RD, STILWELL, OK 74960-9117
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
212952
OK
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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