LATONYA S MIMS

SHREVEPORT, LA
NPI1801879754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  668574)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MA  RN243434)
Enumeration Date2005-11-23
Last Update Date2023-02-09
Business Address
LATONYA S MIMS CRNA
2427 LAKECREST DR
SHREVEPORT, LA 71109-3003
Phone number: 318-560-2312
Mailing Address
LATONYA S MIMS CRNA
2427 LAKECREST DR
SHREVEPORT, LA 71109-3003
Phone number: 318-560-2312
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