Individual
LATADRA S THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 VINCENNE RD, COLUMBIA, SC 29212-3342
(478) 299-2244
Mailing address
231 VINCENNE RD, COLUMBIA, SC 29212-3342
(478) 299-2244
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/31/2023
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