Individual
LATEEKA ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2261 HAMMOND CT, ELLENWOOD, GA 30294-3957
(678) 334-9257
Mailing address
2261 HAMMOND CT, ELLENWOOD, GA 30294-3957
(678) 334-9257
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
GA
Other
Enumeration date
12/04/2021
Last updated
12/04/2021
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