KAWAJALEIN LATIC WHITAKER

LOGANVILLE, GA
NPI1982132171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  RN224425)
Enumeration Date2017-06-01
Last Update Date2017-06-01
Business Address
KAWAJALEIN LATIC WHITAKER FNP
101 TARA COMMONS DR
LOGANVILLE, GA 30052-8018
Phone number: 678-928-9701
Mailing Address
KAWAJALEIN LATIC WHITAKER FNP
3531 GLEN SUMMIT LN
SNELLVILLE, GA 30039-7612
Phone number:
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