Individual
LATONYA MICHELLE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(936) 899-8354
Mailing address
2202 W NORTHWEST LOOP 323 APT 226, TYLER, TX 75702-1166
(936) 899-8354
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352065
TX
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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