Kawajalein Latic Whitaker, FNP
NPI #1982132171 in Loganville, Georgia
Provider Information
- NPI Number
- 1982132171
- Entity Type
- Individual
- Name
- Kawajalein Latic Whitaker, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jun 1, 2017
- Last Updated
- Jun 1, 2017
Practice Location
- Address
- 101 TARA COMMONS DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-8018
- Phone
- (678) 928-9701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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