Most Relevant Information
Provider Data
| NPI Number: | 1003459827 |
| Provider Name: | LATAYSHA CHERVETTE RUFFIN |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 347231 |
Most Important Dates
| Enumeration Date: | 10/24/2019 |
| Last Updated: | 10/24/2019 |
Provider Practice Location
1744 JENKINS RD APT 1004
PASADENA
TX
775064972
Practice Location Phone/Fax
| Phone: | 8323689433 |
| Fax: |
Provider Mailing Location
1744 JENKINS RD APT 1004
PASADENA
TX
775064972
Provider Mailing Phone/Fax
| Phone: | 8323689433 |
| Fax: |