Individual
MRS. ELEANOR DELORES ESTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 7TH AVE NW APT B, MOULTRIE, GA 31768-3241
(229) 456-3591
(229) 456-3591
Mailing address
PO BOX 2302, MOULTRIE, GA 31776-2302
(229) 456-3591
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0000006176
GA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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