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Latisha Annette Black, CDPT,BAS
Student in an Organized Health Care Education/Training Program in Tacoma, Washington
NPI 1427615905

Latisha Annette Black is a Student in an Organized Health Care Education/Training Program based in Tacoma, WA. Latisha Annette Black practices in Tacoma, WA and has the professional credentials of CDPT,BAS. The NPI Number for Latisha Annette Black is 1427615905 and holds a License No. C060492588 (Washington).

The current practice location address for Latisha Annette Black is 1111 Fawcett Ave Ste 200, Tacoma, WA and can be reached out via phone at 253-274-0484.

Location: 1111 Fawcett Ave Ste 200, Tacoma, WA, 98402-2029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427615905
Provider Name
Latisha Annette Black
Credential
CDPT,BAS
Provider Entity Type
Individual
Gender
Female
Address
1111 Fawcett Ave Ste 200, Tacoma, WA, 98402-2029
Phone Number
253-274-0484
Fax Number
Provider Enumeration Date
05/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1111 Fawcett Ave Ste 200
City
Tacoma
State
Washington
Zip
98402-2029
Phone Number
253-274-0484
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Fawcett Ave Ste 200
City
Tacoma
State
Washington
Zip
98402-2029
Phone Number
253-274-0484
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
C060492588 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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