Individual
RUVENIA S BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 CAMBRIDGE WAY, MARTINEZ, GA 30907-9008
(706) 951-5995
Mailing address
424 CAMBRIDGE WAY, MARTINEZ, GA 30907-9008
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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