Individual
MS. LATORIA MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Mailing address
PO BOX 72, WAXHAW, NC 28173-1038
(704) 534-0865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
247686
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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