TANISE LATTIMORE

GASTONIA, NC
NPI1457621393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NC  71631)
Enumeration Date2012-01-10
Last Update Date2012-01-10
Business Address
-- TANISE LATTIMORE LPN
911 W HUDSON BLVD
GASTONIA, NC 28052-6430
Phone number: 704-853-5015
Mailing Address
-- TANISE LATTIMORE LPN
911 W HUDSON BLVD
GASTONIA, NC 28052-6430
Phone number: 704-853-5015