LATISHA J HAVENS

COLUMBIA, SC
NPI1497257125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SC  46442)
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
LATISHA J HAVENS LPN
2000 HAMPTON ST FL 3
COLUMBIA, SC 29204-1002
Phone number: 803-898-0123
Mailing Address
LATISHA J HAVENS LPN
2715 COLONIAL DR STE 100B
COLUMBIA, SC 29203-6818
Phone number: 803-898-4802
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