Individual
MS. LEOLA DELORES KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6226 CREEKFORD DR, LITHONIA, GA 30058-7913
(678) 598-0053
Mailing address
6226 CREEKFORD DR, LITHONIA, GA 30058-7913
(678) 598-0053
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000042627
GA
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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