Individual
EMILY CECELIA LATIOLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
3001 E PRESIDENT GEORGE BUSH HWY, RICHARDSON, TX 75082-3542
(214) 343-6663
Mailing address
1132 NIGHTHAWK RD, FORT WORTH, TX 76108-6985
(337) 302-2742
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
747336
TX
Other
Enumeration date
02/02/2013
Last updated
05/30/2013
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