Individual
YOLANDA EDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 N LAUREL ST, SPRINGFIELD, GA 31329-6830
(844) 207-3881
Mailing address
712 N LAUREL ST, SPRINGFIELD, GA 31329-6830
(844) 207-3881
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
049609555
GA
246RP1900X
Phlebotomy Technician
—
—
247200000X
Other Technician
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2024
Last updated
07/02/2024
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