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1700575602
LATISHA WORMELY
LAS VEGAS, NV
NPI
1700575602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133N00000X Nutritionist
(Licence: MD DX6087)
Enumeration Date
2023-05-05
Last Update Date
2023-05-05
Business Address
LATISHA WORMELY CNS, LDN
400 S 4TH ST STE 500
LAS VEGAS, NV 89101-6207
Phone number: 702-708-1686
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Mailing Address
LATISHA WORMELY CNS, LDN
200 QUAIL RUN
GOLDSBORO, NC 27530-9250
Phone number: 623-512-9236
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