Individual
JAVONTAE LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 N SANDAL, MESA, AZ 85205-5885
(623) 252-9215
Mailing address
307 N SANDAL, MESA, AZ 85205-5885
(623) 252-9215
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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