Doctor Name: | MRS. LATOYA BUSTER-MCCASKILL |
NPI Number: | 1790145779 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | LP050548 |
Business Practice Address: | 2240 Winrow Ave Fort Huachuca, AZ - 85613 |
Business Phone Number: | 5205339034 |
Business Fax Number: | |
Mailing Address: | 2240 Winrow Ave, FORT HUACHUCA |
State: | AZ |
Postal Code: | 85613 |
Phone Number: | 5205339034 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2016 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | LP050548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |