LATARA K CRADDOCK

WINSTON SALEM, NC
NPI1942821152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5013213)
Enumeration Date2020-04-28
Last Update Date2024-04-26
Business Address
Mrs. LATARA K CRADDOCK FNP-BC
2668 PETERS CREEK PKWY
WINSTON SALEM, NC 27127-5655
Phone number: 336-200-7020
Mailing Address
Mrs. LATARA K CRADDOCK FNP-BC
PO BOX 746724
ATLANTA, GA 30374-6724
Phone number: 312-644-3941