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Latora Subani

NPI 1033649413 · on the registry since 2017 · sole proprietor

Practice

Address
16179 Siskiyou Rd
Apple Valley, CA 92307
Phone
(661) 267-6876

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
208VP0014X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-20

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