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Lateara Burks

NPI 1689216194 · on the registry since 2019

Practice

Address
15400 Cholame Rd
Victorville, CA 92392
Phone
(760) 243-5417
Clinicians at this address
20

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-16

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 California