LATRESIA FAIR

CONYERS, GA
NPI1902488778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WI0500X Registered Nurse, Infusion Therapy
(Licence: GA  262012)
Additional Taxonomies163WC1500X Registered Nurse, Community Health
(Licence: GA  262012)
163WH0200X Registered Nurse, Home Health
(Licence: GA  262012)
163W00000X Registered Nurse
(Licence: GA  262012)
Enumeration Date2021-04-22
Last Update Date2021-04-22
Business Address
-- LATRESIA FAIR RN
1303 PARKER RD SE
CONYERS, GA 30094-5984
Phone number: 786-351-9340
Mailing Address
-- LATRESIA FAIR RN
4240 LINDSEY WAY
CONYERS, GA 30013-4103
Phone number: 786-351-9340