Individual
LETITIA N JEMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 STRATFORD CIR, MORROW, GA 30260-8120
(267) 699-8212
Mailing address
4101 STRATFORD CIR, MORROW, GA 30260-8120
(267) 699-8212
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000-00-0000
—
AL
Enumeration date
01/20/2022
Last updated
01/20/2022
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