Individual
MRS. JENNY KADAVOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 BLUE HEATHER CT, LAWRENCEVILLE, GA 30045-9729
(201) 602-2610
Mailing address
848 BLUE HEATHER CT, LAWRENCEVILLE, GA 30045-9729
(201) 602-2610
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN098313
GA
Other
Enumeration date
07/24/2025
Last updated
07/27/2025
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