NPI | 1497330666 |
---|---|
Professional Name | LATOYA SAMUEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: SC 61285) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2021-10-24 |