Search › North Carolina › 1041C0700X
Latoya Wilson
NPI 1013704071 · on the registry since 2025
Practice
- Address
- 4761 Queen Pierrette St.
Raleigh, NC 27610 - Phone
- (336) 268-5127
- Organisation at this address
- Indigo Legends Enterprise Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 251S00000X
175T00000X
101YA0400X
251B00000X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina