Individual
SHAE'ERICA HORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 ERICAS CT, FITZGERALD, GA 31750-8366
(229) 736-4059
Mailing address
113 ERICAS CT, FITZGERALD, GA 31750-8366
(229) 736-4059
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
07/06/2022
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