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MRS. LATONYA CHARMENE PRIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
5041 N 12TH AVE, PENSACOLA, FL 32504-8916
(850) 202-5814
(850) 202-0600
Mailing address
5041 N 12TH AVE, PENSACOLA, FL 32504-8916
(850) 202-5814
(850) 202-0600

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1-091626
AL

Other

Enumeration date
05/17/2016
Last updated
05/17/2016
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