Individual
MRS. IRIS GANCINIA CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4486 LASHLEY DR, TUCKER, GA 30084-2750
(770) 776-8859
Mailing address
4486 LASHLEY DR, TUCKER, GA 30084-2750
(770) 776-8859
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN237347
GA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN237347
GA
163WX0200X
Oncology Registered Nurse
RN237347
GA
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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