Individual
JACQUELYN DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
919 GREEN VALLEY RD SW, MABLETON, GA 30126-1507
(334) 384-3714
Mailing address
919 GREEN VALLEY RD SW, MABLETON, GA 30126-1507
(334) 384-3714
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000038537
GA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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