Individual
SIEDAH ELIZABETH MONCHAI CANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 CARRIE MAE LN, STOCKBRIDGE, GA 30281-3720
(678) 755-3130
Mailing address
109 CARRIE MAE LN, STOCKBRIDGE, GA 30281-3720
(678) 755-3130
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
GA
3747P1801X
Personal Care Attendant
1077-4022
GA
374J00000X
Doula
—
—
376K00000X
Nurse's Aide
00215404
TN
376K00000X
Nurse's Aide
320676761022
OK
376K00000X
Nurse's Aide
Primary
CN0030004934
GA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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