Individual
SHANDRIA PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 WILLOW AVE, WARNER ROBINS, GA 31093-3028
(478) 302-2634
Mailing address
206 WILLOW AVE, WARNER ROBINS, GA 31093-3028
(478) 302-2634
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN096605
GA
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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