Individual provider · NPI-1
Latisha Mary Spanier
Home Health Aide · Moorhead, MN
NPI number1346019353
StatusActive
Last updated in NPPESJan 2, 2024
Details
- NPI
- 1346019353
- Entity type
- Individual (NPI-1)
- Name
- Latisha Mary Spanier
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2024
- Certification date
- Jan 1, 2024
- Last updated
- Jan 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
675 Hampton Dr EMoorhead, MN 56560-6779
Phone 701-371-5661
Mailing address
675 Hampton Dr EMoorhead, MN 56560-6779
Phone 701-371-5661
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