Shaw, Latisha

Shaw, Latisha is an sole proprietor health care provider with primary practice located at 2677 Zoe Ave Ste 304 , Huntington Park CA 90255-3699. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Shaw, Latisha can be contacted via phone (323) 346-0960.

Contact Information

Primary practice address
2677 Zoe Ave Ste 304 Huntington Park CA 90255-3699
Phone: (323) 346-0960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1932972114
LBN Legal business name Shaw, Latisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2023
Last updated Oct 31st, 2023 - about last year

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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