Individual
LATASHA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
492 TOWNSEND BND, STOCKBRIDGE, GA 30281-7987
(470) 917-9007
Mailing address
492 TOWNSEND BND, STOCKBRIDGE, GA 30281-7987
(470) 917-9007
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
IL
376J00000X
Homemaker
—
GA
376J00000X
Homemaker
—
IL
376K00000X
Nurse's Aide
Primary
CN0014230145
GA
376K00000X
Nurse's Aide
—
IL
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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