Individual
LATASHA SHABREE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10000 LINCOLN DR E STE 201, MARLTON, NJ 08053-3105
(856) 988-5496
Mailing address
10000 LINCOLN DR E STE 201, MARLTON, NJ 08053-3105
(856) 988-5496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR18949300
NJ
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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