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Latoria Randile, CNIM

Specialist/Technologist, Other, Electroneurodiagnostic in Southlake, TX. Individual provider (NPI-1).

NPI number1265906366
StatusActive
Last updated in NPPESJan 11, 2019

Details

NPI
1265906366
Entity type
Individual (NPI-1)
Name
Latoria Randile
Credential
CNIM
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 11, 2019
Last updated
Jan 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic––Yes

Practice location

251 E Southlake Blvd Ste 150
Southlake, TX 76092-6276

Phone 254-221-2900

Mailing address

251 E Southlake Blvd Ste 150
Southlake, TX 76092-6276

Phone 254-221-2900

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Other Electroneurodiagnostic Specialist/Technologist providers in Southlake, TX

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