Individual
MRS. LA'TASHA YVONNE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N,
Contact information
Practice address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
Mailing address
330 PAGEANT LN, CLARKSVILLE, TN 37040-3854
(931) 648-5747
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000061402
TN
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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