Individual
MS. ANEESAH LATTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX 25044, FARMINGTON, NY 14425-0044
(720) 518-5774
Mailing address
PO BOX 25044, FARMINGTON, NY 14425-0044
(720) 518-5774
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
891016
NY
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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