Provider Demographics
NPI:1619412509
Name:HINTON, LATOYA (CNA)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:HINTON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 N 28TH AVE
Mailing Address - Street 2:APT 30
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-3144
Mailing Address - Country:US
Mailing Address - Phone:706-496-1978
Mailing Address - Fax:
Practice Address - Street 1:801 N 28TH AVE
Practice Address - Street 2:APT 30
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39401-3144
Practice Address - Country:US
Practice Address - Phone:706-496-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS374U00000X
MSA078809376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide