Individual
MRS. CHRISTINA JARVIS-REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
211 LASSO DR, RIVERDALE, GA 30274-4095
(404) 553-3511
Mailing address
160 PRITY CT, MCDONOUGH, GA 30253-8961
(404) 553-3511
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN092720
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LPN092720
—
GA
Enumeration date
10/28/2020
Last updated
10/28/2020
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