Individual
JAQUANA LOBDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 HILLBROOK DR, MARTINEZ, GA 30907-1536
(706) 339-4782
Mailing address
214 HILLBROOK DR, MARTINEZ, GA 30907-1536
(706) 339-4782
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
24000632
GA
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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