Individual
BRIAN EDWARD CONTORNO-GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
318 BURNS DR, WARNER ROBINS, GA 31088-5975
(808) 445-1966
Mailing address
318 BURNS DR, WARNER ROBINS, GA 31088-5975
(808) 445-1966
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN095122
GA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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