Individual
SIMONE B LAJONQUILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1199 SAXONY DR SE, CONYERS, GA 30013-1774
(404) 399-8720
(833) 323-2345
Mailing address
1199 SAXONY DR SE, CONYERS, GA 30013-1774
(404) 399-8720
(833) 323-2345
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN099128
GA
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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