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Individual

MS. TRAMANIA ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4196 HIGHWAY 36, COVINGTON, GA 30014-3586
(678) 342-0808
Mailing address
218 RENAISSANCE WAY, CONYERS, GA 30012-8006
(678) 764-4585

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043089158
IL
164W00000X
Licensed Practical Nurse
Primary
LPN085313
GA

Other

Enumeration date
01/29/2013
Last updated
01/29/2013
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