Individual
LATAVIA CHERI LONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9429 NW 42ND STREET, 9429 NW 42ND STREET, SUNRISE, FL 33351
(754) 802-0552
Mailing address
9429 NW 42ND ST, SUNRISE, FL 33351-7629
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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