Individual
DANA ABDEL-LATIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 KINGS RD, CANTONMENT, FL 32533-8950
(850) 324-7915
Mailing address
1436 KINGS RD, CANTONMENT, FL 32533-8950
(850) 324-7915
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12672
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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