Individual
LATUNDRA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5617 RAMSEY ST, FAYETTEVILLE, NC 28311-1423
(910) 483-7337
Mailing address
1367 TOWNSEND RD, RAEFORD, NC 28376-9510
(910) 988-5977
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5021238
NC
Other
Enumeration date
11/22/2024
Last updated
12/03/2024
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