CRYSTAL LATASHA GREENE

STONE MOUNTAIN, GA
NPI1417610387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: GA  cn0014183784)
Enumeration Date2021-10-18
Last Update Date2021-10-18
Business Address
CRYSTAL LATASHA GREENE
5030 W MOUNTAIN ST APT 18
STONE MOUNTAIN, GA 30083-2845
Phone number: 678-334-4914
Mailing Address
CRYSTAL LATASHA GREENE
5030 W MOUNTAIN ST APT 18
STONE MOUNTAIN, GA 30083-2845
Phone number: 678-334-4914
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