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Individual

LATORIA MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LNHA, BSN

Contact information

Practice address
6124 WATERTON DR, LITHONIA, GA 30058-3509
(937) 304-8067
Mailing address
6124 WATERTON DR, LITHONIA, GA 30058-3509
(937) 304-8067

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN282861
GA

Other

Enumeration date
03/17/2025
Last updated
03/17/2025
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