Latasha Holloway LPN

NPI 1740620012 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1740620012
Gender Female
Enumeration Date 07/01/2013
Last Updated 07/01/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
136 LEOPARD ST
ROCHESTER NY, 14615-3106, US
Phone (585) 284-8643
Fax
Business Location
136 LEOPARD ST
ROCHESTER NY, 14615-3106, US
Phone (585) 284-8643
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 312954
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According to our database, Latasha Holloway LPN NPI is 1740620012, taxonomy code is 164W00000X and license number is 312954, license state is located at New York. Latasha Holloway LPN physically located at 136 Leopard St, Rochester NY, 14615-3106. NPI Number Latasha Holloway LPN has the Individual type.

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1740620012 NPI number is provided on an as is basis without warranty of any kind. 1740620012 is maintained by the National Plan & Provider Enumeration System. The contents of Latasha Holloway LPN are for informational purposes only.