Individual
LATOYA LAASHLY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5036 COUNTY ROAD 3185 E, MOUNT ENTERPRISE, TX 75681-6019
(903) 921-0918
Mailing address
5036 COUNTY ROAD 3185 E, MOUNT ENTERPRISE, TX 75681-6019
(903) 921-0918
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1002002
TX
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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