Individual
MS. LASHONDA MONIQUE LANIER-JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
204 FOREST PINE BLVD, VIDALIA, GA 30474-6119
(912) 537-9971
Mailing address
204 FOREST PINE BLVD, P.O. BOX 148, VIDALIA, GA 30474-6119
(912) 537-9971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN160105
GA
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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