Laketa Roberts

NPI 1710318910 - Home Health Aide - 374U00000X

NPI Details
NPI 1710318910
Gender Female
Enumeration Date 12/12/2013
Last Updated 12/12/2013
Entity Type Individual
Active Over 2 years ago
Practice Location
3307 WHITE CASTLE DR
DECATUR GA, 30034-5444, US
Phone (678) 707-1426
Fax
Business Location
3307 WHITE CASTLE DR
DECATUR GA, 30034-5444, US
Phone (678) 707-1426
Fax
Toxanomy
Taxonomy Code 374U00000X
License State Georgia
License Number 044-R-0841
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According to our database, Laketa Roberts NPI is 1710318910, taxonomy code is 374U00000X and license number is 044-R-0841, license state is located at Georgia. Laketa Roberts physically located at 3307 White Castle Dr, Decatur GA, 30034-5444. NPI Number Laketa Roberts has the Individual type.

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1710318910 NPI number is provided on an as is basis without warranty of any kind. 1710318910 is maintained by the National Plan & Provider Enumeration System. The contents of Laketa Roberts are for informational purposes only.