Individual
SHARAY LAPARIS JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
386 EAGLES FLIGHT LN, RIVERDALE, GA 30274-5270
(678) 464-3378
Mailing address
386 EAGLES FLIGHT LN, RIVERDALE, GA 30274-5270
(678) 464-3378
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028905145
GA
Other
Enumeration date
04/12/2025
Last updated
04/12/2025
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