Individual
MS. IRENE LIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
2009 ELLIS STREET, BRUNSWICK, GA 31520
(912) 217-9658
Mailing address
2009 ELLIS STREET, BRUNSWICK, GA 31520
(912) 217-9658
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN091748
GA
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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