Individual
LATOYA REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4127
(336) 842-6980
Mailing address
1904 E CLOANINGER AVE, STATESVILLE, NC 28625-6312
(336) 407-6601
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
093076
NC
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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