Individual
TAMEKA DEKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 WINDY HILL PT, LAWRENCEVILLE, GA 30046-4493
(470) 274-6470
Mailing address
602 WINDY HILL PT, LAWRENCEVILLE, GA 30046-4493
(470) 274-6470
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0028840721
GA
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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