Individual
LATRICE BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 RIVER HEIGHTS CT SE, MARIETTA, GA 30067-4899
(714) 299-1458
Mailing address
2226 RIVER HEIGHTS CT SE, MARIETTA, GA 30067-4899
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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