Individual
MS. SANDRA REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
425 WOODLAND DRIVE, WARNER ROBINS, GA 31088
(478) 954-5153
Mailing address
425 WOODLAND DR, WARNER ROBINS, GA 31088-7121
(478) 954-5153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN066930
GA
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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