Individual
LONNETTA WIAFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12461 VETERANS MEMORIAL HWY STE 771, DOUGLASVILLE, GA 30134-2025
(404) 500-9958
Mailing address
12461 VETERANS MEMORIAL HWY STE 771, DOUGLASVILLE, GA 30134-2025
(404) 500-9958
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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