Organization
LATAZT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASMINE MORENO (CO-OWNER)
(707) 971-1160
Entity
Organization
Contact information
Practice address
755 BAYWOOD DR FL 2, PETALUMA, CA 94954-5510
(800) 483-8926
Mailing address
755 BAYWOOD DR FL 2, PETALUMA, CA 94954-5510
(800) 483-8926
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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