LATASHA FULLER

LAKE ELSINORE, CA
NPI1184330193
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date2023-01-24
Last Update Date2023-01-24
Business Address
LATASHA FULLER
31764 CASINO DR
LAKE ELSINORE, CA 92530-2312
Phone number: 951-471-4645
Mailing Address
LATASHA FULLER
31764 CASINO DR
LAKE ELSINORE, CA 92530-2312
Phone number:
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