Individual
DONNA LATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 MASON DR, METUCHEN, NJ 08840-1135
(908) 930-1727
Mailing address
253 MASON DR, METUCHEN, NJ 08840-1135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO08108400
NJ
163W00000X
Registered Nurse
Primary
L1-0049718
DE
163W00000X
Registered Nurse
RN9430467
FL
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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