Individual
LATESSIA LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 KAYLA CT, COLLEGE PARK, GA 30349-4183
(470) 631-6969
Mailing address
2715 KAYLA CT, COLLEGE PARK, GA 30349-4183
(470) 631-6969
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
PHCP011298
GA
251E00000X
Home Health Agency
Primary
PHCP011298
GA
376K00000X
Nurse's Aide
PHCP011298
GA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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