Individual
MRS. LATONYA RICHARDSON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
222 W BEAR LAKE RD, TALLULAH, LA 71282-6028
(318) 574-3879
Mailing address
222 W BEAR LAKE RD, TALLULAH, LA 71282-6028
(318) 574-3879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214886
LA
Other
Enumeration date
07/30/2020
Last updated
08/11/2021
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