Individual
LATONYA R ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6202 GREENS HOLLOW LN, DURHAM, NC 27713-2110
(919) 641-4630
Mailing address
6202 GREENS HOLLOW LN, DURHAM, NC 27713-2110
(919) 641-4630
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
060425
NC
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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