| NPI | 1760255491 |
|---|---|
| Other Name | LATADRA THOMAS |
| Entity Type | Organization |
| Authorized Contact | LATADRA S THOMAS Phlebotomist 478-299-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |