Individual
MS. LATONYA C MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
29 SUNLIGHT CHURCH RD, SANDY HOOK, MS 39478-9469
(601) 810-5427
Mailing address
29 SUNLIGHT CHURCH RD, SANDY HOOK, MS 39478-9469
(601) 310-0757
(601) 843-0190
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
P323893
MS
Other
Enumeration date
08/28/2013
Last updated
05/17/2023
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