LATISHA ANNETTE BLACK

TACOMA, WA
NPI1427615905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  C060492588)
Enumeration Date2019-05-21
Last Update Date2019-05-21
Business Address
LATISHA ANNETTE BLACK CDPT, BAS
1111 FAWCETT AVE STE 200
TACOMA, WA 98402-2029
Phone number: 253-274-0484
Mailing Address
LATISHA ANNETTE BLACK CDPT, BAS
1111 FAWCETT AVE STE 200
TACOMA, WA 98402-2029
Phone number: 253-274-0484
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