Individual
LATERICA LESHUN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 BEAVER RUIN RD APT 609, NORCROSS, GA 30093-3348
(404) 492-3968
Mailing address
1405 BEAVER RUIN RD APT 609, NORCROSS, GA 30093-3348
(404) 492-3968
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/15/2016
Last updated
05/15/2016
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