Individual
LATIISE KEANNA TROTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3121 VILLA AVE, APT 1G, BRONX, NY 10468-1373
(347) 984-1438
Mailing address
3121 VILLA AVE, APT 1G, BRONX, NY 10468-1373
(347) 984-1438
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
326316-1
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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