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Individual

LATASHIA PRINCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4930 PROMENADE DR SW, ATLANTA, GA 30331-8719
(404) 587-9162
Mailing address
4930 PROMENADE DR SW, ATLANTA, GA 30331-8719
(313) 459-4906

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
09/16/2019
Last updated
09/16/2019
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