Individual
LATORRI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
124 APPLE ST, RIDGECREST, LA 71334-3602
(601) 870-2763
Mailing address
124 APPLE ST, RIDGECREST, LA 71334-3602
(601) 870-2763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
887056
MS
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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