Female

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)

Code

171M00000X

Primary Taxonomy

Yes

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

Provider Address

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