Individual
MISS MICHELLE RENE DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
755 BRAVES AVE UNIT 1447, LAWRENCEVILLE, GA 30043-3343
(678) 557-3887
Mailing address
755 BRAVES AVE UNIT 1447, LAWRENCEVILLE, GA 30043-3343
(678) 557-3887
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN060140
GA
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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