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Individual

LATISHA HOUZE-REED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1411 BRADLEY AVENUE, BEAUMONT, MS 39423-0235
(601) 784-3922
(601) 784-3755
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-2493

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R864309
MS

Other

Enumeration date
10/15/2014
Last updated
10/21/2014
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