Individual
MRS. LATASHA RENEE' TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
8750 FOX MEADOW WAY, FORT WORTH, TX 76123-2507
(817) 715-8208
Mailing address
8750 FOX MEADOW WAY, FORT WORTH, TX 76123-2507
(817) 715-8208
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
231797
TX
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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