Individual
LATIFA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2770 TRADD CT, SNELLVILLE, GA 30039-4942
(678) 478-0116
Mailing address
2770 TRADD CT, SNELLVILLE, GA 30039-4942
(678) 478-0116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN262579
GA
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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