Individual
PECOLA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2411
Mailing address
678 CLAIRIDGE ELM TRL, LAWRENCEVILLE, GA 30046-7753
(678) 209-2411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN 059909
GA
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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