Individual
SHARLEECE BELLAGOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3801 SPRUCE DR, VALDOSTA, GA 31605-6039
(888) 503-3725
(888) 503-6687
Mailing address
3801 SPRUCE DR, VALDOSTA, GA 31605-6039
(888) 503-3725
(888) 503-6687
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
O-007651
GA
Other
Enumeration date
09/21/2014
Last updated
09/21/2014
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