Individual
JANICE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
255 OF LANIER RD, PEMBROKE, GA 31321-5606
(912) 704-4585
Mailing address
255 OF LANIER RD, PEMBROKE, GA 31321-5606
(912) 704-4585
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN038509
GA
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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