Individual
LATISHA JADE CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
54 TRYON CT W, SPRING LAKE, NC 28390-7422
(910) 033-6095
Mailing address
54 TRYON CT W, SPRING LAKE, NC 28390-7422
(910) 033-6095
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
444497
NC
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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