Individual
LATESHIA ROCHELLE HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 PRIMROSE TER, SELMA, AL 36703-4130
(678) 879-2616
Mailing address
1120 PRIMROSE TER, SELMA, AL 36703-4130
(678) 879-2616
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
376K00000X
Nurse's Aide
—
AL
Other
Enumeration date
05/02/2020
Last updated
05/08/2020
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