Individual
ANGELA LATAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
16 S EUTAW ST STE 400, BALTIMORE, MD 21201-1699
(410) 328-5947
Mailing address
16 S EUTAW ST STE 400, BALTIMORE, MD 21201-1699
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
O1053
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
795538300
—
MD
Enumeration date
06/01/2006
Last updated
05/27/2020
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