LATOSHA SHANTA LAKE

LORAIN, OH
NPI1366209678
Former NameLATOSHA LAKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251K00000X Public Health or Welfare
Enumeration Date2024-03-04
Last Update Date2024-03-04
Business Address
Mrs. LATOSHA SHANTA LAKE
1424 REDBUD PL
LORAIN, OH 44053-3147
Phone number: 440-597-8150
Mailing Address
Mrs. LATOSHA SHANTA LAKE
1424 REDBUD PL
LORAIN, OH 44053-3147
Phone number: 440-597-8150
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