Individual
JENNEFER LOURDES JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 GRANT AVE, MCDONOUGH, GA 30252-7696
(954) 274-4682
(770) 914-8958
Mailing address
2124 GRANT AVE, MCDONOUGH, GA 30252-7696
(954) 274-4682
(770) 914-8958
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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