Individual
LATESHA TAVONNE TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
MEADOW LANE, CLSH/RRTC UNIT #6, PINEVILLE, LA 71409-0212
(318) 487-5191
(318) 487-5184
Mailing address
PO BOX 212, 906 MAYO STREET, BOYCE, LA 71409-0212
(318) 793-4913
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
260247
LA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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