Search › Georgia › 225700000X
La Shan Ettress, MT
NPI 1609480979 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1660 Neighborhood Walk
Mcdonough, GA 30252 - Phone
- (323) 835-7306
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-04
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