Individual
JACQULINE NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
7305 CHILTON LN, RIVERDALE, GA 30296-1409
(770) 996-2577
Mailing address
7305 CHILTON LN, RIVERDALE, GA 30296-1409
(770) 996-2577
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000006154
GA
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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