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Individual

DAFFENEY HOLLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
1205 LEVERETT RD APT 1204, WARNER ROBINS, GA 31088-0332
(478) 662-8285
Mailing address
PO BOX 8495, WARNER ROBINS, GA 31095-8495
(478) 662-8285

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
GA
3747P1801X
Personal Care Attendant
GA
374U00000X
Home Health Aide
GA
376J00000X
Homemaker
GA
376K00000X
Nurse's Aide
Primary
CN0000022932
GA

Other

Enumeration date
05/16/2019
Last updated
05/16/2019
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