LATANYA MICKENS

SUWANEE, GA
NPI1477068948
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH024035)
Enumeration Date2017-12-06
Last Update Date2017-12-06
Business Address
DR. LATANYA MICKENS PHARMD
992 LANSFAIRE XING
SUWANEE, GA 30024-6950
Phone number: 678-824-5045
Mailing Address
DR. LATANYA MICKENS PHARMD
3350 PEACHTREE RD NE
ATLANTA, GA 30326-1039
Phone number: