Individual
JAZSMINE SHANICE WINGFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 DANIELLE DR, STATHAM, GA 30666-2242
(706) 202-9885
Mailing address
65 DANIELLE DR, STATHAM, GA 30666-2242
(706) 202-9885
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
W5A3D5F6
GA
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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