Individual
DR. ENISA LATIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2709 GENESEE ST, UTICA, NY 13501-6222
(315) 797-1908
Mailing address
2709 GENESEE ST, UTICA, NY 13501-6222
(315) 797-1908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013433
NY
Other
Enumeration date
11/18/2020
Last updated
06/18/2024
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