Individual
LATRICE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10309 WATERCREST CT, JACKSONVILLE, FL 32218-5389
(904) 234-5709
Mailing address
10309 WATERCREST CT, JACKSONVILLE, FL 32218-5389
(904) 234-5709
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
9397184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
02/01/2022
Last updated
02/01/2022
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