Individual
VEDA LATRICE GOINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
4827 OLD NATIONAL HWY STE 1055, COLLEGE PARK, GA 30337-6234
(770) 771-3588
Mailing address
4300 FLAT SHOALS RD APT 1208, UNION CITY, GA 30291-2401
(770) 771-3588
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
CKA8721
GA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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