Individual
LAZANDA KERBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 YOUNG ST, THOMASVILLE, GA 31792-3762
(229) 421-3212
Mailing address
1336 YOUNG ST, THOMASVILLE, GA 31792-3762
(229) 421-3212
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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