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Individual

LATISHA MARBUARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1737 DRIFTWOOD LN, BIRMINGHAM, AL 35235-2981
(205) 370-9430
Mailing address
5865 WATER POINT LN, HOOVER, AL 35244-4115
(256) 370-9430
(256) 233-2309

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SC-44-TA-870
AL

Other

Enumeration date
07/21/2010
Last updated
01/19/2016
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