MEDICARE: MS. LATONYA SHANA'E HOWARD LVN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	VN205419	CA

General Provider Information

NPI Number	:	1275758468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LATONYA SHANA'E HOWARD LVN

Provider Business Mailing Address
First Line	:	8694 LEMON AVE
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91941-5338
Country	:	US
Telephone Number	:	619-460-4894
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 HOTEL CIRCLE CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3411
Country	:	US
Telephone Number	:	619-543-0556
Fax Number	:	619-543-0562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2007
Last Update Date	:	07/08/2007

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