Individual
INDIA N HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
365 MCGIBONEY LN, COVINGTON, GA 30016-7348
(513) 254-9657
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN093802
GA
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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