Individual
MS. LATISHA SHANAE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED NURSING
Contact information
Practice address
107 JOHNY R CASSIDY RD, BAINBRIDGE, GA 39817-1716
(229) 205-1992
Mailing address
107 JOHNY R CASSIDY RD, BAINBRIDGE, GA 39817-1716
(229) 205-1992
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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