Individual
LATOSHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 529-8001
Mailing address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 529-8001
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
203124
TX
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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