Individual
LA'TRAVEIN SAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
798 GROVE BND, DECATUR, GA 30030-2706
(404) 983-6393
Mailing address
798 GROVE BND, DECATUR, GA 30030-2706
(404) 983-6393
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
296536
GA
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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