LATIA G R GREEN

LAWRENCEVILLE, GA
NPI1982839221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN077092)
Enumeration Date2009-05-15
Last Update Date2009-05-15
Business Address
-- LATIA G R GREEN
2203 OAKLAND FARM DR
LAWRENCEVILLE, GA 30044-6394
Phone number: 678-429-7176
Mailing Address
-- LATIA G R GREEN
2203 OAKLAND FARM DR
LAWRENCEVILLE, GA 30044-6394
Phone number:
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