Individual
LATOSHA LEANN REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2406 BELL AVE, ELK CITY, OK 73644-2262
(580) 303-7944
(580) 210-5227
Mailing address
1701 RENAISSANCE BLVD STE 110, EDMOND, OK 73013-3084
(405) 844-4978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125853
OK
Other
Enumeration date
10/05/2020
Last updated
11/02/2020
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