| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LATOYA WANZER | 1902405368 | 2020-10-18 |
Latoya Wanzer is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902405368. Registration indicates Latoya Wanzer is a provider of services with a specialization in Agencies, Early Intervention Provider Agency (Early Intervention Provider Agency, ) (Early Intervention Provider Agency, Agencies)
| Entity Type | Individual |
| Provider Name | Mrs. Latoya Wanzer |
| Practice Office Address | 19 MANIGAULT CT FLORENCE, SC US |
| Practice Office Telephone | 8436164310 |
| Practice Office Fax | 8437992350 |
| Mailing Address | 19 MANIGAULT CT FLORENCE, SC 295018827 US |
| Business Telephone | 8436164310 |
| Business Fax | 8437992350 |
| Code | Practice | License No State |
|---|---|---|
| 252Y00000X PRIMARY | Agencies Early Intervention Provider Agency Early Intervention Provider Agency Early Intervention Provider Agency Agencies |