Individual
DANIELLE MARIE DE LATOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
12197 QUEENS BRIGADE DR, FAIRFAX, VA 22030-5935
(703) 424-3362
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2352565
MA
Other
Enumeration date
09/26/2018
Last updated
10/28/2021
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