Latoria J Bass

NPI #1134670201 in Opelika, Alabama

Provider Information

NPI Number
1134670201
Entity Type
Individual
Name
Latoria J Bass
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 24, 2016
Last Updated
Oct 24, 2016

Practice Location

Address
1801 CORPORATE DR
State
Alabama
ZIP Code
36801-6861
Phone
(334) 745-5765

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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