Individual
LATANJA JANECHO HUSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2022 FAIRBURN RD STE D, DOUGLASVILLE, GA 30135-1062
(770) 942-1044
(770) 942-1044
Mailing address
2786 JACOB LN, DOUGLASVILLE, GA 30135-4447
(678) 437-7662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN207586
GA
Other
Enumeration date
09/01/2016
Last updated
04/05/2022
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