Individual
MS. INJOI LATARSHA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
458 TOWN SQ, COPPERAS COVE, TX 76522-2826
(254) 553-5801
(254) 547-3297
Mailing address
COPPERAS COVE MEDICAL HOME, 458 TOWN SQUARE, COPPERAS COVE, TX 76522
(254) 553-5801
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
141373
TX
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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