| NPI | 1508424045 |
|---|---|
| Former Name | LATOYA LYNETTE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 2472E0500X Technician, Other, EEG |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |