LATIA MONANETTE BUTTS

GRENADA, MS
NPI1164731931
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R659983)
Enumeration Date2010-09-28
Last Update Date2021-06-04
Business Address
LATIA MONANETTE BUTTS CFNP
1300 SUNSET DR STE Q
GRENADA, MS 38901-4086
Phone number: 662-349-2442
Mailing Address
LATIA MONANETTE BUTTS CFNP
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number: