Hollywood, Latasha

Hollywood, Latasha is an individual health care provider with primary practice located at 501 Highway J , Hayti MO 63851-1200. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Hollywood, Latasha can be contacted via phone (573) 359-9840.

Contact Information

Primary practice address
501 Highway J Hayti MO 63851-1200
Fax:
Website:

Health care specialties

Profile Details

NPI number 1780221341
LBN Legal business name Hollywood, Latasha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2019
Last updated Dec 3rd, 2019 - about 5 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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