Individual
MRS. MARY LATINA HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
700 WAVERLY RD, DAVENPORT, IA 52804-4317
(319) 640-4304
Mailing address
619 GREENFIELD ST NE, CEDAR RAPIDS, IA 52402-1315
(319) 640-4304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12240885
IA
Other
Enumeration date
01/27/2025
Last updated
03/03/2026
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