NPI 1134401235

Latricia Walton, RMA

Practitioner Homemaker Chicago, IL

Practice location

Address: 353 S Cicero Ave, Chicago, IL 60644-4905
Phone: (773) 309-8749
Fax: (773) 309-8760
Mailing address: 10830 S Bensley Ave, Chicago, IL 60617-6416

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X Licence 376J00000X (IL)

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Registry record

NPI: 1134401235
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2011
Record last updated: 14 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.