Individual
LATONYA Y HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
907 N PRUETT ST APT 65, BAYTOWN, TX 77520-4568
(337) 377-9466
Mailing address
907 N PRUETT ST APT 65, BAYTOWN, TX 77520-4568
(337) 377-9466
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272557
LA
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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