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Latanya Mickens, PHARMD

NPI 1477068948 · on the registry since 2017 · sole proprietor

Practice

Address
992 Lansfaire Xing
Suwanee, GA 30024
Phone
(678) 824-5045

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-12-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia