Individual
LATOSHA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 CARVER DR, DOTHAN, AL 36303-5009
(334) 648-7620
Mailing address
1507 CARVER DR, DOTHAN, AL 36303-5009
(334) 648-7620
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-065956
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881060058
—
AL
Enumeration date
04/13/2022
Last updated
04/13/2022
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