Individual
LATORIE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
338 EASTERN AVE NE, WASHINGTON, DC 20019-2885
(747) 257-3674
Mailing address
338 EASTERN AVE NE, WASHINGTON, DC 20019-2885
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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