Thomas, Latonya

Thomas, Latonya is an individual health care provider with primary practice located at 3444 Wisconsin Ave , Vicksburg MS 39180-5331. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Thomas, Latonya can be contacted via phone (601) 638-0031.

Contact Information

Primary practice address
3444 Wisconsin Ave Vicksburg MS 39180-5331
Phone: (601) 638-0031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 327059 Mississippi

Profile Details

NPI number 1336659887
LBN Legal business name Thomas, Latonya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2017
Last updated Oct 10th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336659887 NPPES
Mississippi MEDICAID 0018215

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