Individual
MRS. ELEANOR LUCERO CAPULONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-4209
(912) 573-4229
Mailing address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-4209
(912) 573-4229
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
163987
GA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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