Individual
LATICIA SCOTT SUESBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
4200 W STAN SCHLUETER LOOP STE B200, KILLEEN, TX 76549-6937
(254) 554-7428
Mailing address
803 HICKORY DR, KILLEEN, TX 76549-5401
(254) 554-7428
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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