STACY LATACK

BILOXI, MS
NPI1821803321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WD0400X Registered Nurse, Diabetes Educator
(Licence: MS  878067)
Enumeration Date2025-02-11
Last Update Date2025-02-11
Business Address
STACY LATACK RN
301 FISHER ST
BILOXI, MS 39534-2508
Phone number: 228-376-4932
Mailing Address
STACY LATACK RN
10253 LAKE FOREST DR
OCEAN SPRINGS, MS 39565-2014
Phone number: