Individual
LAILA ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1940 COOPER LAKES DR, GRAYSON, GA 30017-2977
(770) 339-0442
Mailing address
1940 COOPER LAKES DR, GRAYSON, GA 30017-2977
(770) 339-0442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2006021642
GA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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