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Individual

MRS. LATOYA LORRAINE AJILEYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3699 CASCADE RD SW STE B2, ATLANTA, GA 30331-2163
(404) 691-7006
Mailing address
901 RICE ST NW, ATLANTA, GA 30318-4938
(404) 613-2266

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN273713
GA
363L00000X
Nurse Practitioner
Primary
RN273713
GA

Other

Enumeration date
10/02/2017
Last updated
01/16/2024
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