Individual
LAQUITA D. MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12023 VALLEY OAK ST, CHARLOTTE, NC 28277-3268
(980) 689-1913
Mailing address
12023 VALLEY OAK ST, CHARLOTTE, NC 28277-3268
(704) 929-1890
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
8951
NC
164W00000X
Licensed Practical Nurse
147604
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/15/2009
Last updated
06/15/2023
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