Individual
VICTORIA SHONTA HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S ZETTEROWER AVE, STATESBORO, GA 30458-1144
(912) 243-9247
Mailing address
206 S ZETTEROWER AVE, STATESBORO, GA 30458-1144
(912) 243-9247
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
BL-002828-2020
GA
Other
Enumeration date
12/09/2020
Last updated
12/14/2020
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