Individual
DANIELA JASMINE ETIENNE-KLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3715 WOLVERTON CIR, LITHONIA, GA 30038-3719
(404) 825-2648
Mailing address
3715 WOLVERTON CIR, LITHONIA, GA 30038-3719
(404) 825-2648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN263814
GA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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