Individual
MINA O LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2451 BIRKHALL WAY # 2451, LAWRENCEVILLE, GA 30043-3496
(770) 789-0132
Mailing address
2451 BIRKHALL WAY # 2451, LAWRENCEVILLE, GA 30043-3496
(770) 789-0132
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN086214
GA
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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