Individual
MRS. WARLESIA CHUBB CHUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
45 MCCLENDON DR, ROCKMART, GA 30153-2114
(678) 757-0213
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN156823
CA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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