Individual
LATRILLA CASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 OSPREY DR STE 107, DESOTO, TX 75115-2427
(469) 930-5842
(866) 315-5210
Mailing address
1615 OSPREY DR STE 107, DESOTO, TX 75115-2427
(405) 748-0207
(866) 315-5210
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
TX
Other
Enumeration date
07/18/2019
Last updated
07/14/2020
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