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Individual

LATONYA POLK

Active
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Individual

LATONYA POLK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
261QA0600X
Adult Day Care Clinic/Center
310400000X
Assisted Living Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
1232380
TX

Other

Enumeration date
12/06/2006
Last updated
06/30/2026
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