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Individual

BRIDGETTE M LATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
10477 METRIC DR # 217, DALLAS, TX 75243-5522
(469) 858-7041
Mailing address
10477 METRIC DR # 217, DALLAS, TX 75243-5522
(469) 858-7041

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
218977
TX

Other

Enumeration date
09/16/2020
Last updated
09/16/2020
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