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MS. LATARSHA WALTRONIA EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP-PMHNP-BC

Contact information

Practice address
1400 COLLEGE DR, WACO, TX 76708-1402
(601) 778-1349
Mailing address
5813 FM 39 N, MEXIA, TX 76667-4658

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP133997
TX

Other

Enumeration date
06/14/2017
Last updated
06/14/2017
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