Individual
MS. LATANYA DENISE HALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3205 CHARING CROSS RD, MIDLOTHIAN, TX 76065-1281
(682) 261-7826
Mailing address
3205 CHARING CROSS RD, MIDLOTHIAN, TX 76065-1281
(682) 261-7826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
932956
TX
163WC0400X
Case Management Registered Nurse
932956
TX
171M00000X
Case Manager/Care Coordinator
Primary
932956
TX
342000000X
Transportation Network Company
—
—
Other
Enumeration date
01/19/2018
Last updated
05/08/2021
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