Individual
DELANA LYNN JOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
311 WHITE INGRAM PKWY, DALLAS, GA 30132-0969
(678) 363-7447
Mailing address
311 WHITE INGRAM PKWY # 301, DALLAS, GA 30132-0969
(678) 363-7447
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN082688
GA
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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