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Latishia Porter

NPI 1174888333 · on the registry since 2012

Practice

Address
8936 Mayfield Ct
Saint Louis, MO 63136
Phone
(314) 724-5460
Organisation at this address
Care4ages Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
372600000X
374U00000X
Sex
Female
Record last updated
2012-07-12

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 Missouri