Age, Latasha
Age, Latasha is an individual health care provider with primary practice located at 7500 Dollarway Rd Ste 105 , White Hall AR 71602-3082. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Age, Latasha can be contacted via phone (870) 247-2305.Contact Information
Primary practice address
7500 Dollarway Rd Ste 105
White Hall AR 71602-3082
Phone: (870) 247-2305
Fax: (870) 247-2330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1932485075 |
|---|---|
| LBN Legal business name | Age, Latasha |
| Credentials | MHPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2011 |
| Last updated | Nov 2nd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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