Individual
LAURA SHANNON ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 BAPTIST BRANCH RD # B, BLAKELY, GA 39823-2841
(229) 366-0145
Mailing address
220 BAPTIST BRANCH RD # B, BLAKELY, GA 39823-2841
(229) 366-0145
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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