Individual
LATOYA WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
233 KEM LN, MOUNT HOLLY, NC 28120-9055
(704) 813-8325
Mailing address
233 KEM LN, MOUNT HOLLY, NC 28120-9055
(704) 813-8325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
271203
NC
163WC0400X
Case Management Registered Nurse
271203
NC
163WH0200X
Home Health Registered Nurse
Primary
271203
NC
163WM0705X
Medical-Surgical Registered Nurse
271203
NC
163WW0000X
Wound Care Registered Nurse
271203
NC
Other
Enumeration date
03/19/2016
Last updated
03/19/2016
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