Search › Missouri › 251E00000X
Latonya Fort
NPI 1124683362 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4952 Beacon Ave
Saint Louis, MO 63120 - Phone
- (314) 368-8995
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-02
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 Missouri