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Individual

LATAYA MONET BASTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2772 MARENGO ST, NEW ORLEANS, LA 70115-6214
(504) 758-8576
Mailing address
2772 MARENGO ST, NEW ORLEANS, LA 70115-6214
(504) 758-8576

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
101435
ND
376K00000X
Nurse's Aide
135351
LA
376K00000X
Nurse's Aide
342934
IA
376K00000X
Nurse's Aide
CNA97614
ME
376K00000X
Nurse's Aide
IDLA0040439E
ID
376K00000X
Nurse's Aide
M0027130202169
MO
376K00000X
Nurse's Aide
Primary
NC.61411238
WA

Other

Enumeration date
12/20/2023
Last updated
12/20/2023
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