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Individual

LATOYA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
6237 CAPRICE DR, FLOWERY BRANCH, GA 30542-3469
(678) 754-4897
Mailing address
6237 CAPRICE DR, FLOWERY BRANCH, GA 30542-3469
(678) 754-4897

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030088073
GA

Other

Enumeration date
10/31/2023
Last updated
10/31/2023
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