Individual
MS. RANTI HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 DULUTH HWY 120, LAWRENCEVILLE, GA 30043
(678) 377-7170
(678) 377-7170
Mailing address
1536 RIVER MAIN CT, LAWRENCEVILLE, GA 30045-4011
(770) 237-9867
(770) 237-9867
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0614007
GA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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