Individual
LATRISHIA EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 HONEYSUCKLE DR, LA MARQUE, TX 77568-4449
(409) 771-9736
Mailing address
604 HONEYSUCKLE DR, LA MARQUE, TX 77568-4449
(409) 771-9736
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
317647
TX
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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