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Individual

LATAYA DENISE LADSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
150 PINE STATE ST, LILLINGTON, NC 27546-9414
(910) 814-2425
(910) 814-2429
Mailing address
150 PINE STATE ST, LILLINGTON, NC 27546-9414
(910) 814-2425
(910) 814-2429

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
231457
NC

Other

Enumeration date
06/15/2023
Last updated
06/15/2023
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