Individual
MS. LATANYA V RI'CHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMPSS
Contact information
Practice address
1240 E. PLAZA BLVD. STE 604, #374, NATIONAL CITY, CA 91950
(209) 775-0025
Mailing address
PO BOX 1458, PLANADA, CA 95365-1458
(209) 775-0025
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-VSOLRD
CA
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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