Individual
SHINIKA LALTOYA LINARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4817 MICHELLE ST, VALDOSTA, GA 31605-6335
(229) 488-2691
Mailing address
4817 MICHELLE ST, VALDOSTA, GA 31605-6335
(229) 488-2691
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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