Magdala Lataillac, RN
Registered Nurse in Brooklyn, NY. Individual provider (NPI-1).
NPI number1063802478
StatusActive
Last updated in NPPESJan 23, 2015
Details
- NPI
- 1063802478
- Entity type
- Individual (NPI-1)
- Name
- Magdala Lataillac
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2015
- Last updated
- Jan 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 688347 | NY | Yes |
Practice location
441 Brooklyn Ave Apt 5kBrooklyn, NY 11225-3268
Phone 347-447-4212
Mailing address
441 Brooklyn Ave Apt 5kBrooklyn, NY 11225-3268
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