Most Relevant Information
Provider Data
| NPI Number: | 1003491416 |
| Provider Name: | LATOSHA ANNAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R161665 |
Most Important Dates
| Enumeration Date: | 03/17/2021 |
| Last Updated: | 03/17/2021 |
Provider Practice Location
405 WINTERBERRY DR
EDGEWOOD
MD
210403533
Practice Location Phone/Fax
| Phone: | 4436224578 |
| Fax: |
Provider Mailing Location
405 WINTERBERRY DR
EDGEWOOD
MD
210403533
Provider Mailing Phone/Fax
| Phone: | 4436224578 |
| Fax: |