Individual
LAQUITTA CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2855 LAWRENCEVILLE SUWANEE ROAD SUITE 330/340, SUWANEE, GA 30024
(770) 904-3955
(770) 904-3954
Mailing address
1206 WHATLEY MILL LN, LAWRENCEVILLE, GA 30045-7001
(706) 371-4671
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN258483
GA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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