Individual
LATESHA MILLER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6750 W WILKINSON BLVD, BELMONT, NC 28012-6202
(704) 825-6929
Mailing address
6750 W WILKINSON BLVD, BELMONT, NC 28012-6202
(704) 825-6929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013525
NC
Other
Enumeration date
09/12/2020
Last updated
02/07/2022
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