Lateshia Eagletail
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 RdPhoenix, AZ 85004-1677
Phone: (623) 205-1407
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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 number | 1770305450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2024 |
| Last updated in NPPES | October 24, 2024 |
| Certification date | October 24, 2024 |
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