Individual
MRS. LATOYA RENEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1009 GEORGIA AVE, LEESBURG, FL 34748-3707
(352) 409-7958
Mailing address
1009 GEORGIA AVE, LEESBURG, FL 34748-3707
(352) 409-7958
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
304813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015924500
—
FL
Enumeration date
11/02/2015
Last updated
11/02/2015
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