Individual
MRS. SHIKINA LATRICE DE VEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
3791 LAVISTA RD APT 3, TUCKER, GA 30084-5675
(334) 444-0069
Mailing address
3791 LAVISTA RD APT 3, TUCKER, GA 30084-5675
(334) 444-0069
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO134695
GA
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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