Individual
IRMA BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 TOMMY STALNAKER DR STE B, WARNER ROBINS, GA 31088-9236
(478) 333-2735
(478) 845-7390
Mailing address
96 TOMMY STALNAKER DR STE B, WARNER ROBINS, GA 31088-9236
(478) 333-2735
(478) 845-7390
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN014684
GA
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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