Individual
LATISHA SONIA DOLLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
985 MOUNT ZION RD APT 15C, MORROW, GA 30260-2256
(404) 784-4032
Mailing address
985 MOUNT ZION RD APT 15C, MORROW, GA 30260-2256
(404) 784-4032
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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