Provider Demographics
NPI:1598268682
Name:CROSBY, LATOYA RASHAUNDRA
Entity Type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:RASHAUNDRA
Last Name:CROSBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1297 KENSINGTON LN
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:OK
Mailing Address - Zip Code:73538-3854
Mailing Address - Country:US
Mailing Address - Phone:407-962-8670
Mailing Address - Fax:
Practice Address - Street 1:1297 KENSINGTON LN
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:OK
Practice Address - Zip Code:73538-3854
Practice Address - Country:US
Practice Address - Phone:407-962-8670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-14
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other