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Individual

CHRISTINA JOY LATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1701 PELHAM RD S, JACKSONVILLE, AL 36265-3353
(256) 435-4970
Mailing address
1701 PELHAM RD S, JACKSONVILLE, AL 36265-3353
(256) 435-4970

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-119815
AL

Other

Enumeration date
04/21/2016
Last updated
04/21/2016
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