Individual
LATASHA HARTEN-JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
443 NE SIMS DR, LAKE CITY, FL 32055
(386) 365-8799
Mailing address
443 NE SIMMS DR, LAKE CITY, FL 32055-3450
(386) 365-8799
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5219332
FL
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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