Individual
LATEEFAH TALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N HIGH STREET EXTENDED, SMYRNA, DE 19977-1183
(183) 388-6227
Mailing address
590 NAAMANS RD, CLAYMONT, DE 19703-2308
(833) 886-2277
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0024169
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L2-0024169
—
DE
Enumeration date
07/06/2022
Last updated
07/06/2022
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