Individual
MS. LATANYA MARIE FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
417 S JOHNSON ST, NEW ORLEANS, LA 70112-2237
(972) 391-4442
Mailing address
417 S JOHNSON ST, NEW ORLEANS, LA 70112-2237
(972) 391-4442
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
272436
LA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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