LATISHA SHAW

HUNTINGTON PARK, CA
NPI1932972114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2023-10-31
Last Update Date2023-10-31
Business Address
LATISHA SHAW
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
Mailing Address
LATISHA SHAW
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: