Individual
MRS. LATOYA NICHELLE ALLEN-COSTICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
618 N HIGH ST STE 3, LONGVIEW, TX 75601-5377
(903) 234-8755
(903) 234-8776
Mailing address
618 N HIGH ST STE 3, LONGVIEW, TX 75601-5377
(903) 234-8755
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
914490
TX
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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