LATORIA J BASS

OPELIKA, AL
NPI1134670201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-144026)
Enumeration Date2016-10-24
Last Update Date2016-10-24
Business Address
-- LATORIA J BASS
1801 CORPORATE DR
OPELIKA, AL 36801-6861
Phone number: 334-745-5765
Mailing Address
-- LATORIA J BASS
201 MONROE ST SUITE 1350
MONTGOMERY, AL 36104-3735
Phone number: 334-206-5675
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