Individual
PHILENA S LATCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
690 SHEFFIELD AVE, APT 1F, BROOKLYN, NY 11207-6838
(917) 609-5540
Mailing address
690 SHEFFIELD AVE, APT 1F, BROOKLYN, NY 11207-6838
(917) 609-5540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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