Individual
MRS. ESTRAYA LASLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 DOUBLETREE DR, CUMMING, GA 30040-9427
(678) 455-7444
(678) 455-7444
Mailing address
5115 DOUBLETREE DR, CUMMING, GA 30040-9427
(678) 455-7444
(678) 455-7444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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