Latanga Wilson, LVN | |
22223 S Salmon Ave, Carson, CA 90810-1871 | |
(310) 513-6770 | |
Not Available |
Full Name | Latanga Wilson |
---|---|
Gender | Female |
Speciality | Licensed Vocational Nurse |
Location | 22223 S Salmon Ave, Carson, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821319138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164X00000X | Licensed Vocational Nurse | VN185596 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Latanga Wilson, LVN 22223 S Salmon Ave, Carson, CA 90810-1871 Ph: (310) 513-6770 | Latanga Wilson, LVN 22223 S Salmon Ave, Carson, CA 90810-1871 Ph: (310) 513-6770 |
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