Individual
LATANYA BRUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20870 ISHERWOOD TER APT 300, ASHBURN, VA 20147-7790
(850) 382-6840
Mailing address
6901A N 9TH AVE # 566, PENSACOLA, FL 32504-6638
(850) 417-1188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5172428
FL
Other
Enumeration date
01/24/2023
Last updated
02/01/2023
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