Latasha R. Wiley
Case Manager/Care Coordinator in Monroe, LA(View on Map)
Full Name
Latasha R Wiley
NPI Number
1669051934
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/05/2021
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
8326 KELWOOD AVE
4310 S GRAND ST
City
Baton Rouge
Monroe
State
LA
LA
Postal Code
70806-4803
71202-6322
Country
US
US
Telephone Number
N/A
(888) 693-4996
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/28/2021