Individual
MRS. AYANNA AKOSUA SMALL LATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS, FNP
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
661631
CA
363LF0000X
Family Nurse Practitioner
Primary
95006192
CA
Other
Enumeration date
08/07/2017
Last updated
10/02/2017
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