Individual
LATICIA LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2813 MUSKRAT DR, FORT WORTH, TX 76244-5502
(817) 897-2433
(817) 431-6681
Mailing address
2813 MUSKRAT DR, FORT WORTH, TX 76244-5502
(817) 897-2433
(817) 431-6681
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
TX
372600000X
Adult Companion
—
—
Other
Enumeration date
06/27/2016
Last updated
06/30/2016
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