Individual provider · Type 1 NPI
Lateisha McDonald, CEO
Hospice Registered Nurse · Colton, CA
NPI number
1720694524
Active
Practice location
1003 E Cooley Dr Ste J
Colton, CA 92324-3948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Registered Nurse Primary | 163WH1000X | 123708 (CA) |
Hospice Registered Nurse: Definition to come...
Another provider at this address
About NPI 1720694524
Lateisha McDonald, CEO's National Provider Identifier is 1720694524, issued on Sep 17, 2020. The primary taxonomy on file is Hospice Registered Nurse (163WH1000X), and the practice location is in Colton, CA. The record was last updated on Sep 17, 2020.