Individual
LATISHA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 KENDRICK ESTATES DR, JONESBORO, GA 30238-2196
(770) 471-8037
(770) 471-8037
Mailing address
307 KENDRICK ESTATES DR, JONESBORO, GA 30238-2196
(770) 471-8037
(770) 471-8037
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
390588082
GA
Other
Enumeration date
10/17/2015
Last updated
10/17/2015
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