Individual
LATRONNA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 GILLIONVILLE RD, ALBANY, GA 31707-3737
(229) 255-4651
Mailing address
1812 GILLIONVILLE RD, ALBANY, GA 31707-3737
(229) 255-4651
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
PCH012256
GA
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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