Individual
LATRENA LASHAY ADAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 SE SEASHORE LN, PORT SAINT LUCIE, FL 34983-3893
(772) 206-6592
Mailing address
1634 SE SEASHORE LN, PORT SAINT LUCIE, FL 34983-3893
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021734200
—
FL
Enumeration date
08/16/2018
Last updated
03/26/2025
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