Individual
LATOYA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7250 GATEWAY AVE, HAMILTON, OH 45011-3564
(513) 912-4006
Mailing address
7250 GATEWAY AVE, HAMILTON, OH 45011-3564
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
403503
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824321835
—
OH
Enumeration date
06/16/2022
Last updated
06/16/2022
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