Individual
LATANYA THURMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2029 BASSFORD DR, HEPHZIBAH, GA 30815-5651
(706) 832-9367
Mailing address
2029 BASSFORD DR, HEPHZIBAH, GA 30815-5651
(706) 832-9367
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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