Individual
MS. KEDRA DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 BROOKCLEAR LN, FAYETTEVILLE, GA 30215-4639
(678) 353-1985
Mailing address
255 BROOKCLEAR LN, FAYETTEVILLE, GA 30215-4639
(678) 353-1985
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
Other
Enumeration date
06/08/2020
Last updated
08/12/2021
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