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Individual

MRS. WINONA FAY LATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN,BSN

Contact information

Practice address
5235 N TOSCANA AVE, MERIDIAN, ID 83642-3509
(208) 855-0709
(208) 855-0709
Mailing address
5235 N TOSCANA AVE, MERIDIAN, ID 83642-3509
(208) 855-0709
(208) 855-0709

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
N-35643
ID

Other

Enumeration date
05/11/2007
Last updated
07/08/2007
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