Individual
STEPHANIE LATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7273 HARRELL DR, ZACHARY, LA 70791-3258
(225) 301-3588
Mailing address
7273 HARRELL DR, ZACHARY, LA 70791-3258
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
240512
LA
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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