Individual
LATRIS R HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4748 MARTY DR, COTTAGE GROVE, WI 53527-9201
(608) 359-6480
Mailing address
PO BOX 7582, MADISON, WI 53707-7582
(608) 359-6480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
144886-30
WI
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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