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LATIA MONANETTE BUTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
1300 SUNSET DR, STE Q, GRENADA, MS 38901-4086
(662) 294-9101
(662) 294-9104
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R659983
MS

Other

Enumeration date
09/28/2010
Last updated
03/18/2025
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