KENOSHA LATRICE TILLMAN

FAIRBURN, GA
NPI1275886103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA  GAA-NP000960)
Enumeration Date2012-10-16
Last Update Date2024-11-07
Business Address
MISS KENOSHA LATRICE TILLMAN NURSE PRACTITIONER
5220 ROSEWOOD PL
FAIRBURN, GA 30213-5113
Phone number: 901-277-7086
Mailing Address
MISS KENOSHA LATRICE TILLMAN NURSE PRACTITIONER
5220 ROSEWOOD PL
FAIRBURN, GA 30213-5113
Phone number:
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