Individual
LATOSHIA ZELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1953 OLD ATLANTA RD, GRIFFIN, GA 30223-1180
(404) 955-9108
(770) 914-1690
Mailing address
56 CLAYTON ENGLISH DR, FORSYTH, GA 31029-9441
(478) 394-1623
(770) 914-1690
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PHCP013303
GA
253Z00000X
In Home Supportive Care Agency
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Other
Enumeration date
11/14/2013
Last updated
08/20/2024
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