Individual
BIANCA MARIE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 LAKEVIEW WAY, JONESBORO, GA 30238-5661
(678) 592-4868
Mailing address
711 LAKEVIEW WAY, JONESBORO, GA 30238-5661
(678) 592-4868
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN064421
GA
164W00000X
Licensed Practical Nurse
PN5160927
FL
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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