Individual
NYRVA BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5680 FULTON INDUSTRIAL BLVD SW, ATLANTA, GA 30336-2659
(404) 564-9831
Mailing address
5680 FULTON INDUSTRIAL BLVD SW, ATLANTA, GA 30336-2659
(404) 564-9831
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN080616
GA
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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