Individual
LAKECIA J BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 STANSBURY WAY, KATHLEEN, GA 31047-3327
(478) 758-0966
Mailing address
206 STANSBURY WAY, KATHLEEN, GA 31047-3327
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
053016273
GA
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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