LATREVET THOMAS

GOOSE CREEK, SC
NPI1417849886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  30643)
Enumeration Date2025-07-18
Last Update Date2026-04-15
Business Address
-- LATREVET THOMAS APRN
119 SPRINGHALL DR
GOOSE CREEK, SC 29445-5368
Phone number: 843-266-2520
Mailing Address
-- LATREVET THOMAS APRN
PO BOX 530062
ATLANTA, GA 30353-0062
Phone number: 800-491-0909
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