Latisha Summers

NPI #1275813958 in Hobe Sound, Florida

Provider Information

NPI Number: 1275813958
Entity Type: Individual
Name: Latisha Summers
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Aug 25, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 8108 SE COCONUT ST
City: Hobe Sound
State: Florida
ZIP Code: 33455-4008
Phone: (561) 312-3940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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