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Search › California › 101YA0400X

Latasha Mack

NPI 1033385711 · on the registry since 2008

Practice

Address
8026 Lorraine Ave Ste 201
Stockton, CA 95210
Phone
(209) 644-6328
Fax
(209) 644-6308
Organisation at this address
Oneiro Management Group
Formurex Home Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2008-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California