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Individual
KIA LATEA COLLETON-LIVINGSTON
Active
Individual
KIA LATEA COLLETON-LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
218559
NC
363LA2200X
Adult Health Nurse Practitioner
APRN11035647
FL
363LP2300X
Primary Care Nurse Practitioner
218559
NC
Other
Enumeration date
02/21/2012
Last updated
12/10/2024
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