Individual
LATONYA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 S SKY HAVEN AVE, GONZALES, LA 70737-4856
(225) 573-8581
Mailing address
1902 S SKY HAVEN AVE, GONZALES, LA 70737-4856
(225) 573-8581
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
7186959
LA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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