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Individual

LATOYA MANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4650 LARKSPUR ST, HOUSTON, TX 77051-2828
(832) 417-3650
Mailing address
4650 LARKSPUR ST, HOUSTON, TX 77051-2828
(832) 417-3650

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35071992
TX
Enumeration date
09/07/2022
Last updated
09/07/2022
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