Individual
MRS. LATOSHA BRINKLEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1581 HARRISTON RD, FAYETTE, MS 39069-5439
(601) 597-5076
Mailing address
PO BOX 562, FAYETTE, MS 39069-0562
(601) 597-5076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
902693
MS
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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