Individual
TAMIKA S LATTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4926 GENERAL STERLING PRICE PL, BOSSIER CITY, LA 71112-4762
(318) 517-7077
Mailing address
4926 GENERAL STERLING PRICE PL, BOSSIER CITY, LA 71112-4762
(318) 517-7077
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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