Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lateshia Eagletail

Individual provider Other Technician · NPI 1770305450

Lateshia Eagletail is an Other Technician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

222 E McDowell Rd
Phoenix, AZ 85004-1677
Phone: (623) 205-1407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence CLT00171587849666370 (AZ)

Record details

NPI number1770305450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address222 E McDowell Rd, Phoenix, AZ 85004-1677

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