Individual
SHENEQUA ANASTASIA NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7237 BRITTANY WAY, DOUGLASVILLE, GA 30134-4075
(470) 514-8584
Mailing address
7237 BRITTANY WAY, DOUGLASVILLE, GA 30134-4075
(470) 514-8584
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN093135
GA
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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