Individual
LATASHA NICHELLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1949 HANCHEY RD, BIRMINGHAM, AL 35214-2007
(205) 337-1457
Mailing address
1949 HANCHEY RD, BIRMINGHAM, AL 35214-2007
(205) 337-1457
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-064691
AL
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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