Individual
MRS. LATENA MONTGOMERY-BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6960 CEDAR CT, OVILLA, TX 75154-3342
(405) 210-4390
Mailing address
6960 CEDAR CT, OVILLA, TX 75154-3342
(405) 210-4390
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
796850
TX
163WC1500X
Community Health Registered Nurse
796850
TX
163WI0600X
Infection Control Registered Nurse
796850
TX
163WW0000X
Wound Care Registered Nurse
796850
TX
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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