Individual
MRS. LATONYA ANN CASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2419 PENDERGRASS LN, ELLENWOOD, GA 30294-6251
(404) 934-7988
Mailing address
2419 PENDERGRASS LN, ELLENWOOD, GA 30294-6251
(404) 934-7988
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN075334
GA
Other
Enumeration date
03/10/2011
Last updated
01/06/2012
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