Individual
LATERRA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44139 W MESCAL ST, MARICOPA, AZ 85138-4044
(313) 970-6127
(313) 970-6127
Mailing address
PO BOX 1174, MARICOPA, AZ 85139-0350
(520) 413-3475
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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