Individual
LATASHIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 BACKLINE RD, HAMMONTON, NJ 08037-8452
(856) 818-7716
Mailing address
1405 BACKLINE RD, HAMMONTON, NJ 08037-8452
(856) 818-7716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR21456300
NJ
163WH0200X
Home Health Registered Nurse
26NR21456300
NJ
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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