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Latoya Henderson
NPI 1467151563 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2224 Jerome Blvd
Racine, WI 53403 - Phone
- (262) 822-5298
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-27
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 Wisconsin