Individual
SANDRA GAYTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3779 GRANT RD LOT 20, ELLENWOOD, GA 30294-2377
(404) 453-4926
Mailing address
3779 GRANT RD LOT 20, ELLENWOOD, GA 30294-2377
(404) 453-4926
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
GA
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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