Individual
THEODOSHA LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9746 IVEY RIDGE CIR, JONESBORO, GA 30238-4160
(470) 497-4421
Mailing address
9746 IVEY RIDGE CIR, JONESBORO, GA 30238-4160
(470) 497-4421
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
GA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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