Individual
LATOYA TANISHA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3325 CHELSEA DR, CLEVELAND HEIGHTS, OH 44118-1321
(954) 854-6516
Mailing address
3325 CHELSEA DR, CLEVELAND HEIGHTS, OH 44118-1321
(954) 854-6516
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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