JAVONTAE LANGSTON

MESA, AZ
NPI1740961911
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Enumeration Date2023-07-28
Last Update Date2023-07-28
Business Address
JAVONTAE LANGSTON
307 N SANDAL
MESA, AZ 85205-5885
Phone number: 623-252-9215
Mailing Address
JAVONTAE LANGSTON
307 N SANDAL
MESA, AZ 85205-5885
Phone number: 623-252-9215
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