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Individual

MRS. LATOSHA WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPED, CFM

Contact information

Practice address
M04 DAVISON BLDG, DURHAM, NC 27710-0833
(919) 435-0381
Mailing address
PO BOX 833, WAKE FOREST, NC 27588-0833
(919) 435-0321

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
CFM02249
NC
174400000X
Specialist
Primary
CPED3559
NC

Other

Enumeration date
09/08/2009
Last updated
01/03/2017
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