Individual
KIMBERLY PETENBRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 LANDRUM DR, MARTIN, GA 30557-2546
(706) 244-2210
Mailing address
117 LANDRUM DR, MARTIN, GA 30557-2546
(706) 244-2210
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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