Individual
LATASHA BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 COUNTY ROAD 114 E, SAN AUGUSTINE, TX 75972-3422
(936) 201-5389
Mailing address
210 COUNTY ROAD 114 E, SAN AUGUSTINE, TX 75972-3422
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
301320
TX
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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