Individual
KENDRA LATRICE RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
208 W MOORES CROSSING RD, THOMASTON, GA 30286-2755
(706) 975-6990
Mailing address
208 W MOORES CROSSING RD, THOMASTON, GA 30286-2755
(706) 975-6990
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
216468
GA
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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