Individual
KIMBERLY LYNN RIDALL-VILLAGOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
771 BROWNLEE RD, JACKSON, GA 30233-2413
(910) 920-7357
Mailing address
771 BROWNLEE RD, JACKSON, GA 30233-2413
(910) 920-7357
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
GA
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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