Individual
LATASHA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 740-9231
Mailing address
588 HERON GLEN DR, COLUMBIA, SC 29229-8083
(803) 576-2722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
99626
SC
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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