Individual
LATISHA ANN LOVENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1733 MACLAND RD SW, MARIETTA, GA 30064-4109
(770) 499-7021
Mailing address
1733 MACLAND RD SW, MARIETTA, GA 30064-4109
(770) 499-7021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032486
GA
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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