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Latisha Blake, CAC
NPI 1366734931 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2708 Ne 14th Street Suite 5
Pompano, FL 33062 - Phone
- (954) 603-7885
- Fax
- (954) 342-0273
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Female
- Record last updated
- 2011-05-13
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 Florida