MEDICARE: LATOYA WOMACK

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	163W00000X	Registered Nurse	R221723	MD

General Provider Information

NPI Number	:	1326565052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA WOMACK

Provider Business Mailing Address
First Line	:	7102 BURFORD CT APT 301
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-7906
Country	:	US
Telephone Number	:	443-804-1650
Fax Number	:

Provider Business Practice Location Address
First Line	:	7102 BURFORD CT APT 301
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244
Country	:	US
Telephone Number	:	443-804-1650
Fax Number	:

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

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	07/21/2022

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Directions to “ LATOYA WOMACK ” Practice Location

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