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1932972114
LATISHA SHAW
HUNTINGTON PARK, CA
NPI
1932972114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2023-10-31
Last Update Date
2023-10-31
Business Address
LATISHA SHAW
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number: 323-346-0960
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Mailing Address
LATISHA SHAW
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA 90255-3699
Phone number:
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