Individual
LATEISHA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
1003 E COOLEY DR STE J, COLTON, CA 92324-3948
(951) 992-3665
Mailing address
1003 E COOLEY DR STE J, COLTON, CA 92324-3948
(951) 992-3665
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
123708
CA
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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