Individual
LATRINA MAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1700 HARRISON ST STE N, BATESVILLE, AR 72501-7315
(870) 262-2200
Mailing address
1370 EVERETT RIDGE RD, PRIM, AR 72130-9544
(870) 213-5881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003960
AR
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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