Individual
LATASHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
615 18TH ST S, BIRMINGHAM, AL 35233-1826
(205) 996-3050
Mailing address
5208 HEATHERBROOKE PKWY, BIRMINGHAM, AL 35242-8087
(205) 306-1337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-152931
AL
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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