Individual
KATINA DANTZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3005 LENORA CHURCH RD, SNELLVILLE, GA 30078-3688
(404) 510-2471
Mailing address
1589 HARBINS RD, NORCROSS, GA 30093-2280
(404) 510-2471
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN187108
GA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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