LATRICE ANTRAE LOUIS

FORT PIERCE, FL
NPI1376123851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2021-04-09
Last Update Date2021-04-09
Business Address
LATRICE ANTRAE LOUIS
919 NORTH 25TH STREET 6-101
FORT PIERCE, FL 34950
Phone number: 772-882-2705
Mailing Address
LATRICE ANTRAE LOUIS
913 NW 12TH ST
OKEECHOBEE, FL 34972-2041
Phone number: 772-519-4201