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Latasha Patrice Williams

Licensed Practical Nurse in Bossier City, LA. Individual provider (NPI-1).

NPI number1982176962
StatusActive
Last updated in NPPESJan 1, 2019

Details

NPI
1982176962
Entity type
Individual (NPI-1)
Name
Latasha Patrice Williams
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 1, 2019
Last updated
Jan 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse20100444LAYes

Practice location

1827 Southview Dr
Bossier City, LA 71112-2047

Phone 318-762-6474

Mailing address

1827 Southview Dr
Bossier City, LA 71112-2047

Phone 318-762-6474

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