Individual
MS. KATINA PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 TREVITT DR APT E, STONE MOUNTAIN, GA 30083-7266
(404) 884-9090
Mailing address
70 TREVITT DR APT E, STONE MOUNTAIN, GA 30083-7266
(404) 884-9090
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
E5D5P2C7
GA
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
01/12/2016
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