Individual
LATASHA MARIE WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8011 CLAYTON RD STE 209, CLAYTON, MO 63117-1156
(314) 390-2878
Mailing address
8011 CLAYTON RD STE 209, CLAYTON, MO 63117-1156
(314) 390-2878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2007024034
MO
163WH0200X
Home Health Registered Nurse
2007024034
MO
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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