Latasha Fuller
Latasha Fuller is an Adult Mental Health Clinic/Center in Lake Elsinore, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
31764 Casino DrLake Elsinore, CA 92530-2312
Phone: (951) 471-4645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|
Record details
| NPI number | 1184330193 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2023 |
| Last updated in NPPES | January 24, 2023 |
| Certification date | January 24, 2023 |
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