Individual
LATAYA TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
861 PARK AVE, BROOKLYN, NY 11206-7300
(718) 828-2666
Mailing address
861 PARK AVE, BROOKLYN, NY 11206-7300
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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