Individual
JNAE KAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, CPCT
Contact information
Practice address
1130 ANGELIA DR SW, MABLETON, GA 30126-4806
(470) 825-2115
Mailing address
1130 ANGELIA DR SW, MABLETON, GA 30126-4806
(470) 825-2115
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
CN0030028904
GA
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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