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Latia Wallace, LPN

NPI 1962194506 · on the registry since 2023 · sole proprietor

Practice

Address
134 Ashland Ln
Aurora, OH 44202
Phone
(440) 665-1662

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-23

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 Ohio