Individual
LATANYA DARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3327 W LA SALLE ST, PHOENIX, AZ 85041-3491
(323) 376-5002
Mailing address
3327 W LA SALLE ST, PHOENIX, AZ 85041-3491
(323) 376-5002
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN196012
AZ
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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