LATISHA SHACONNA ANDERSON

RALEIGH, NC
NPI1346822822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  233765)
Enumeration Date2021-04-24
Last Update Date2021-04-24
Business Address
LATISHA SHACONNA ANDERSON PMHNP
6350 BERGOT ST APT 101
RALEIGH, NC 27616-3465
Phone number: 919-255-0410
Mailing Address
LATISHA SHACONNA ANDERSON PMHNP
6350 BERGOT ST APT 101
RALEIGH, NC 27616-3465
Phone number: 919-255-0410
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