Individual
MS. TAQUANNA LASONDA KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5300 HIGHWAY 138 APT 101, UNION CITY, GA 30291-1881
(678) 519-1471
Mailing address
5300 HIGHWAY 138 APT 101, UNION CITY, GA 30291-1881
(678) 519-1471
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN084890
GA
Other
Enumeration date
05/27/2012
Last updated
05/27/2012
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