Latesha Powell

NPI #1730543950 in Clinton, Maryland

Provider Information

NPI Number: 1730543950
Entity Type: Organization
Organization Name: Latesha Powell
Primary Specialty: Specialist
Enumeration Date: Apr 13, 2016
Last Updated: Apr 13, 2016

Practice Location

Address: 8708 SHANNAN DR
City: Clinton
State: Maryland
ZIP Code: 20735-2447
Phone: (301) 404-7312

Authorized Official

Name: MISS LATESHA T POWELL
Title: HAIRSTYLIST
Phone: (301) 404-7312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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