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Individual

LATISHA M KNIGHTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
716 WILTONWAY DR, PLANT CITY, FL 33563-7004
(863) 399-7715
Mailing address
716 WILTONWAY DR, PLANT CITY, FL 33563-7004
(863) 399-7715

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
JTUM84
FL

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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