Individual
JALEISHIA WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
396 SHORTLEAF PL, THOMASVILLE, GA 31792-2726
(229) 200-7299
Mailing address
396 SHORTLEAF PL, THOMASVILLE, GA 31792-2726
(229) 200-7299
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN098693
GA
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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