Latresia Fair, RN

NPI 1902488778 · on the registry since 2021

Practice

Address: 1303 Parker Rd Se
Conyers, GA 30094
Phone: (786) 351-9340
Organisation at this address: Harmony House Day Program
Regenerating Me Essentials Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 163WI0500X
163WI0500X
Also registered as: 163WC1500X
163WH0200X
163W00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-04-22

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