Individual
LATESS ECHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 SUNCREST DR, BUFORD, GA 30519-5185
(269) 416-0549
Mailing address
2625 SUNCREST DR, BUFORD, GA 30519-5185
(269) 416-0549
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
11/02/2018
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