Individual
LATOYA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 LASSITER DR, COVINGTON, GA 30016-1393
(404) 644-7055
Mailing address
235 LASSITER DR, COVINGTON, GA 30016-1393
(404) 644-7055
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
053722175
GA
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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