Individual
LA'COYA DAYANI GARRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 W 2ND ST, RUSSELLVILLE, KY 42276-1302
(270) 726-2602
Mailing address
101 W 2ND ST, RUSSELLVILLE, KY 42276-1302
(270) 726-2602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
34510
TN
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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