Individual
MRS. LATRIESE GUYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
12723 HONORE ST, BLUE ISLAND, IL 60406-2205
(708) 489-5798
Mailing address
12723 HONORE ST, BLUE ISLAND, IL 60406-2205
(708) 489-5798
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
—
IL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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