Most Relevant Information
Provider Data
| NPI Number: | 1003401688 |
| Provider Name: | MICHELLE LATOURETTE WOOD |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/04/2021 |
| Last Updated: | 03/04/2021 |
Provider Practice Location
535 S DECATUR BLVD
LAS VEGAS
NV
891073910
Practice Location Phone/Fax
| Phone: | 1702562227 |
| Fax: |
Provider Mailing Location
1815 S 10TH ST
LAS VEGAS
NV
891043145
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |