Individual
MS. DIONDRA RESCHELLE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
PO BOX 1252, FREDERICK, MD 21702-0252
(910) 988-0555
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60261
NC
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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