Individual
GLORIA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSING AIDE
Contact information
Practice address
7710 TREE MOUNTAIN PKWY, STONE MOUNTAIN, GA 30083-6745
(770) 912-1023
Mailing address
7710 TREE MOUNTAIN PKWY, STONE MOUNTAIN, GA 30083-6745
(770) 912-1023
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028896438
GA
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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