Individual
LATOYA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5701 MABLETON PKWY SW STE 310, MABLETON, GA 30126-3360
(678) 799-1203
Mailing address
5701 MABLETON PKWY SW STE 310, MABLETON, GA 30126-3360
(678) 799-1203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN091006
GA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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