Individual
LATOYA COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 UNIONVILLE INDIAN TRAIL RD W STE C, INDIAN TRAIL, NC 28079-5551
(214) 437-2272
Mailing address
1777 HARVARD AVE, COLLEGE PARK, GA 30337-2701
(929) 232-4091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5469852
COSMETOLOGY LICENSE
GA
Enumeration date
10/04/2021
Last updated
10/04/2021
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