Individual
LATOIS NICOLE MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 S 15TH ST, COUNCIL BLUFFS, IA 51501-3900
(531) 232-6450
Mailing address
323 NORTH AVE APT 11, COUNCIL BLUFFS, IA 51503-1678
(402) 871-2952
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
IA
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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