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Latrell Smith

NPI 1518388859 · on the registry since 2014 · sole proprietor

Practice

Address
3428 W 58th Pl
Los Angeles, CA 90043
Phone
(562) 712-4571

Registry record

Primary taxonomy
164X00000X
164X00000X
Also registered as
320900000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-03

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