Individual
MRS. DESHONE T NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1509 WILDWOOD AVE, APT C4, COLUMBUS, GA 31906-2096
(706) 576-6657
(706) 544-2144
Mailing address
4906 ROEBUCK RD NW, HUNTSVILLE, AL 35810-2562
(334) 339-0053
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-047007
AL
Other
Enumeration date
12/24/2006
Last updated
07/08/2007
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