Individual
MS. LATARYA MICHELLE CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 558-4766
Mailing address
3619 SNAPWOOD RD APT E, BIRMINGHAM, AL 35216-6048
(205) 982-1946
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-055752
AL
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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