O'Banner, Latia Irene

O'Banner, Latia Irene is an individual health care provider with primary practice located at 4372 Breeders Cup Cir , Randallstown MD 21133-4049. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. O'Banner, Latia Irene can be contacted via phone (443) 790-0362.

Contact Information

Primary practice address
4372 Breeders Cup Cir Randallstown MD 21133-4049
Phone: (443) 790-0362
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R162086 Maryland
Nursing Service Providers / Registered Nurse 163W00000X RN626135 Pennsylvania

Profile Details

NPI number 1962787663
LBN Legal business name O'Banner, Latia Irene
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2011
Last updated Oct 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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