LATOYA LEIGH WISE

FAYETTEVILLE, GA
NPI1831456284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  AP134506)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  161834)
Enumeration Date2012-04-23
Last Update Date2017-08-15
Business Address
Mrs. LATOYA LEIGH WISE CRNA
180 VICTORIA DR
FAYETTEVILLE, GA 30214-1163
Phone number: 404-379-7052
Mailing Address
Mrs. LATOYA LEIGH WISE CRNA
P.O. BOX 650865
DALLAS, TX 75265-0865
Phone number: 972-233-1999
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