Individual
LAURA KIMBERLY GAETANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2 JOHNNY MERCER BLVD APT 1001, SAVANNAH, GA 31410-3336
(843) 302-1656
Mailing address
2 JOHNNY MERCER BLVD APT 1001, SAVANNAH, GA 31410-3336
(843) 302-1656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242611
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242611
REGISTERED NURSE
GA
Enumeration date
12/03/2021
Last updated
12/03/2021
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