Individual
LATISHA VALENTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
761 LEADING LANE CIR, ALLEN, TX 75002-3120
(678) 472-2632
Mailing address
761 LEADING LANE CIR, ALLEN, TX 75002-3120
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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