Individual
TEONA DANIELLE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5504 POLLMAN ST, COLUMBUS, GA 31907-4114
Mailing address
5504 POLLMAN ST, COLUMBUS, GA 31907-4114
(706) 315-2460
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
62122821007
GA
253Z00000X
In Home Supportive Care Agency
Primary
—
GA
376K00000X
Nurse's Aide
CN0028895010
GA
Other
Enumeration date
11/12/2021
Last updated
03/01/2023
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