Individual
MRS. LATARSHA SELWYNA CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6720 BERTNER ST, MC 4-278 BOX 112, HOUSTON, TX 77030-2604
(713) 785-8537
(832) 355-6865
Mailing address
12310 BROKEN CREEK LN, PEARLAND, TX 77584-9730
(281) 993-4293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
673237
TX
Other
Enumeration date
06/11/2006
Last updated
11/05/2009
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