Individual
DANELLE RYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3483 KINGSWOOD RUN, DECATUR, GA 30034-4839
(678) 830-9457
Mailing address
3483 KINGSWOOD RUN, DECATUR, GA 30034-4839
(678) 830-9457
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028867093
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20052007
—
GA
Enumeration date
08/01/2021
Last updated
08/01/2021
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