Individual
TANJA PLEASANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2970 REVERE CT, EAST POINT, GA 30344-6046
(404) 519-2889
Mailing address
2970 REVERE CT, EAST POINT, GA 30344-6046
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
74148
GA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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