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1497778690
LATASHA NICOLE BAXTER
SILVER SPRING, MD
NPI
1497778690
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Other Name
LATASHA NICOLE EVANS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MD R171236)
Enumeration Date
2006-07-26
Last Update Date
2009-06-02
Business Address
Mrs. LATASHA NICOLE BAXTER CRNP
2121 MEDICAL PARK DR SUITE 2
SILVER SPRING, MD 20902-4054
Phone number: 301-681-3003
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Mailing Address
Mrs. LATASHA NICOLE BAXTER CRNP
11312 BIG HORN CT
BELTSVILLE, MD 20705-1428
Phone number: 716-310-5495
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