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Individual

DIANA LATHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
10514 OBERRENDER RD, NEEDVILLE, TX 77461-5700
(801) 984-0633
(801) 984-0633
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
177787
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
177787
LVN
TX
Enumeration date
03/31/2025
Last updated
03/31/2025
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