Individual
LATRELLE W TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 FORT HILL ST, MACON, GA 31217-3809
(478) 955-1251
(478) 621-4127
Mailing address
531 HALL ST, MACON, GA 31217-3704
(478) 955-1251
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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