Individual
JUDY FAYE LATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2410 HWY 65N, MCGEHEE, AR 71654
(870) 222-3107
(870) 222-6741
Mailing address
PO BOX 214, MCGEHEE, AR 71654
(870) 222-3803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R63251
AR
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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