Individual
SHANDRIKA WOFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 SKYVIEW LANE, TOCCOA, GA 30577
(706) 244-1590
Mailing address
111 SKYVIEW LANE, TOCCOA, GA 30577
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0030042383
GA
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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