Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATASHA FULLER
Active Sole ProprietorLATASHA FULLER is a Adult Mental Health Clinic healthcare provider located in LAKE ELSINORE, California. NPI 1184330193 is currently active in the NPPES registry. Verify at CMS.
Adult Mental Health Clinic · LAKE ELSINORE, CA
Registration Details
- NPI Number
- 1184330193
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2023 (3.6007771168872 yrs)
- Last Updated
- Jan 24, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
31764 CASINO DRLAKE ELSINORE, CA, 925302312Browse CA providers · Browse ZIP 92530
- Phone
- 9514714645
- Primary Specialty
-
Adult Mental Health Clinic
261QM0850X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.