Latasha Dubose
NPI #1013431220 in Douglasville, Georgia
Provider Information
- NPI Number
- 1013431220
- Entity Type
- Individual
- Name
- Latasha Dubose
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jul 29, 2017
- Last Updated
- Jul 29, 2017
Practice Location
- Address
- 2930 BLUFF WINDS PL
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-8683
- Phone
- (678) 695-3734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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