Individual
KHANETHA STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 WATERFORD CLUB DR, LITHIA SPRINGS, GA 30122-4411
(470) 258-5926
Mailing address
2424 WATERFORD CLUB DR, LITHIA SPRINGS, GA 30122-4411
(470) 258-5926
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014220140
IL
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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