Individual
MASHONNA F SAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 WALLACE ST, WAYNESBORO, GA 30830-1167
(706) 871-3596
Mailing address
713 WALLACE ST, WAYNESBORO, GA 30830-1167
(706) 871-3596
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000043622
GA
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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