Individual
MS. LATIFAH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4787 WALDEN CIR APT G, ORLANDO, FL 32811-7310
(786) 350-5107
Mailing address
4787 WALDEN CIR APT G, ORLANDO, FL 32811-7310
(786) 350-5107
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3270681
NY
164W00000X
Licensed Practical Nurse
PN5216002
FL
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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