Individual
LAURA DIANE MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, OFFICE OF ADVANCED EDUCATION, AUGUSTA, GA 30912-0004
(706) 721-4025
Mailing address
2950 MCKINNEY AVE, SUITE #418, DALLAS, TX 75204-2480
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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