LATISHA SHUNTISE DAVIS

AMERICUS, GA
NPI1477831113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN062309)
Enumeration Date2011-07-29
Last Update Date2011-07-29
Business Address
-- LATISHA SHUNTISE DAVIS LPN
415 N JACKSON ST
AMERICUS, GA 31709-3015
Phone number: 229-931-4425
Mailing Address
-- LATISHA SHUNTISE DAVIS LPN
415 N JACKSON ST
AMERICUS, GA 31709-3015
Phone number: 229-931-4425